Transcript File

Technology in Health Care and
Wellness: Rapidly Changing
Landscape
Prof. Lori Brooks
Prof. Dave Lingerfelt
Johnson County Community College
Meet your tour guides…
Dave Lingerfelt, MBA
• Full-time faculty/Co-Dept Chair
Health Care IT
• 10+ years experience in Health IT
• No point here, people learn better
in sets of 3!
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
Meet your tour guides…
Lori Brooks
• Full-time Professor, Health Care IT
• Industry Experience:
•
•
Clinical Content Manager, Pulse
Systems Inc
EHR Specialist, College Park Family
Care Center
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
The Problem
• # of workers currently
trained does not meet
demand of industry
• Aging population
• “Sicker quicker”
• Growing population of
“Worried Well”
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
The Villain(s)?
We have to blame somebody right?
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
We’ve come a long way baby!
First U.S. Surgical Amphitheater
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
Technology Today
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
Technology Today
Reported that 62% of physicians use an
iPad at the point of care.
Clinical Mobility Trends
Over 80% of physicians use smart
phones and smart phone apps daily
as a part of patient care activities
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
What’s ahead?
What Does the Health Care of Tomorrow Look Like?
• Patient Centered Care
• Outcomes Based Medicine/Payment Systems
• Greater Emphasis on Population Health
• Increased focus on Consumer Driven Medicine
NBC News
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
More Data
Current Trends in Information Technology Enable Storage
of Exponentially More Data.
• Average Health System has an EMR Database of 2-3
Terabytes
• Rate of data storage is growing exponentially
• Successfully mapped human genome model 10 years
ago
**1TB = 1 trillion bytes = 1 thousand gigabytes
OR
Roughly 472 hours of HD quality video
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
Health IT Industry
The healthcare industry is leading the
market in IT job creation, according to
the U.S. Bureau of Labor Statistics job
placement services.
IT jobs in healthcare are expected to
grow by 20% annually through 2018.
Lucas Mearian, ComputerWorld, September 26, 2012.
Purpose: Improve quality of patient care!
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
National Survey Results
The need for IT staff in the nation’s
healthcare facilities is more critical
now than two years ago.
Two-thirds of healthcare operations in the U.S. are
reporting a shortage, (67% of 163 hospitals or
healthcare systems), survey of CIOs.
July 2012, College of Healthcare Information Management Executives (CHIME)
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
Security
• What comes to mind when you say “Security”
as it pertains to Healthcare?
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
Security
• Shall we play a game?
• Security Challenge:
• http://www.healthit.gov/providersprofessionals/privacy-security-training-games
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
Gadgets in Health IT
Convergence of Wellness and Wireless
Health Apps vs. Medical Apps
• 43,700 health or medical apps are available in Apple's iTunes app store. However,
only 54% of them were “genuine” healthcare apps. Of those, 69% targeted
consumers and patients while 31% were built for use by clinicians.
• Health apps help consumers to maintain a healthy lifestyle or offer health-related
services.
• Health Apps are targeted at consumers rather than medical professionals.
• The most popular categories of downloaded health apps are exercise, stress, and
diet.
• Categories: Fitness and Nutrition, Calculators and Chronic Disease Management.
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
Fitness and Nutrition Apps
MyFitnessPal
Free online calorie counter and diet plan.
Lose weight by tracking your
caloric intake quickly and easily.
Runtastic
Automatically records elapsed time,
distance, calories burned, speed, elevation
and tracks exercises via the onboard GPS
and through satellites
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
Fitness and Nutrition Apps
Fooducate
Grades your food, explains
what's really inside each product,
and offers healthier alternatives.
Weight Watchers
Track your food, weight and activity.
Snap and Track tool makes tracking a snap.
Search thousands of meal and recipe ideas.
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
Calculator Apps
BMI Calculator
BMI is a reliable indicator of total body fat,
which is related to the risk of disease and death.
Instant Heart Rate
Place the tip of your index finger on
phone’s camera and in a couple of seconds
your Heart Rate will be shown.
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
Chronic Disease Management Apps
Glucose Buddy
Data storage utility for people with diabetes.
Users can log:
- BG
- Carbs (Food)
- Medication (Insulin Dosages)
- Activities
- A1C
- Blood Pressure
- Weight
T2 Mood
Designed to help you track your
emotional experience over time and to
provide you with a tool to share this
information with your health care provider.
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
Chronic Disease Management Apps
Asthma MD
Keep a journal of your asthma easily and quickly.
Visualize your asthma activity on a color graph.
Share asthma diary and graph with your physician.
Heart Pal
Log blood pressure readings, your weight,
and medications you take on a daily basis
to see a clear picture of your heart health.
Set pill-taking reminders and schedules
so you won’t forget a thing.
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
Personal Wellness Gadgets
Fitbit
Wireless wearable activity and sleep tracker
Aria wireless smart scale
Fitbit App: wireless sync to devices
Jawbone Up
Wireless wearable activity and sleep tracker
UP App
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
Personal Wellness Gadgets
Hapifork
Measures how long it took to eat,
amount per minute and intervals between
for servings
LUMOback Posture Belt
Sensor that vibrates when you slouch
Syncs to App
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
Personal Wellness Gadgets
Withings Aura
Smart Sleep System
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
Convergence of Wellness and Wireless
Shift from REACTIVE to PREVENTIVE health care
– Boomers (1/3 of population) will put huge stress on health care system as they
reach retirement age
• Weakest link is ability to manage chronic disease
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
Convergence of Wellness and Wireless
 Consumers with a vested interest in their wellbeing
Digital health is the fastest growing industry segment of consumer
electronics
• Will hospitals, providers and insurance companies
incorporate these new technologies?
– Potential to help both patients and clinicians monitor vital signs
and symptoms
– By 2016, wearable wireless medical device sales will reach more
than 100 million devices annually
• Personal and work life come together
– Financial health incentives for participation
– Use of consumer fitness gadgets in these programs
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
EHRs
• 50% of physicians are satisfied with their EHR’s features and functionalities.
• 40% are satisfied for very satisfied with their EHR’s ability to improve patient
care
• 82% want patients to actively participate in their own care by self-updating
EHR’s
• 50% believe giving patients access to EHRs is crucial in providing effective care
The 3 “A”s of Patient Engagement: Access, Action, Attitudes
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
Why the Increase in EHR Use?
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
What is Meaningful Use?
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
What is Meaningful Use?
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
What is Meaningful Use?
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
What is Meaningful Use?
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
What is Meaningful Use?
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
What is Meaningful Use?
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
What is Meaningful Use?
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
What is Meaningful Use?
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
What Is the Incentive?
The incentive payment is 75% of provider’s Medicare allowed charges up to a
maximum annual cap. Medicare eligible providers who do not meet
meaningful use by 2015 and each subsequent year are subject to payment
adjustments to reimbursements starting at 1% per year up to 5% annually.
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
What are the Meaningful Features of
an EHR?
•
Structured data: patient demographics, problem lists, medication lists, patient
histories, allergy lists, orders, etc.
• Clinical Decision Support (CDS) Tools
• Alerts and Reminders
• Patient Portals
• E-Prescribing
• Speech recognition
• Integration with other clinical systems
• Patient education
• Quality Dashboards and Reporting
• Mobile App
• Referral Tracking
• CPOE
• Patient Kiosks
• Customizable
• Certified
• Basic functions: scheduling, charting, and billing
https://www.drchrono.com/accounts/login/
This workforce solution was funded in part or in whole by an H-1B grant #HG-22600 awarded by the U.S. Department of Labor (DOL). The solution was created and is copyrighted by
Johnson County Community College (JCCC). The DOL makes no guarantees, warranties, endorsements or assurance with respect to the solution. Only non-commercial internal/personal
use by an organization/individual is permissible, unless prior authorization is granted by JCCC.
Where Are We
Headed?
Future of Wearable
TechnologyPhilips Healthcare
Medical Futurist