ONC Report on Health Information Blocking: A Solid Double, But NOT a Home Run

A Stand Up Double
standupdouble

By Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA

Last Friday ONC (the Office of the National Coordinator for Health IT) released a long-awaited Report On Health Information Blocking. The ONC blog capsulizes the report:

Health information blocking occurs when persons or entities knowingly and unreasonably interfere with the exchange or use of electronic health information. Our report examines the known extent of information blocking, provides criteria for identifying and distinguishing it from other barriers to interoperability, and describes steps the federal government and the private sector can take to deter this conduct.

We were struck with two major reactions to the ONC Info Blocking Report:

  • It’s a solid double: it does a credible job of recognizing that the major problems of interoperability and blocking are not technical or due to a lack of standards, but rather due to business practices and business models. The report also proposes a baseline of potential solutions.
  • It’s not a home run: the report misses the opportunity to describe a comprehensive approach to combat information blocking.

In turn, we offer seven recommendations to strengthen the report:

  1. Place Greater Weight on Patient Safety and Public Policy Concerns
  2. Lower the Burden of Proof For Information Blocking
  3. Put Criminal Penalties On the Table
  4. Broaden the Scope of Tactics for Addressing Information Blocking
  5. Emphasize Federal Purchasing Power — Not Regulatory Power — to Address Information Blocking
  6. Place Less Weight on the Interests of EHR vendors
  7. Name Names, Shine the Light

Apple ResearchKit is Open Source, But is it “Open”?

researchkit

For now, the answer is “we don’t know”.

But… the question is very important and worth tracking over the coming months. Let’s not assume that open source will equate to “open”.

7 Questions Are Shaping the Patient Digital Health Platform Ecosystem — HIN Article

PDHPHIN

My article “Seven Questions Shaping the Patient Digital Health Platform Ecosystem” is published in the February 2015 issue of Healthcare Innovation News.

You can download a copy of the article by clicking here.

Accompanying PowerPoint slides are available here.

Table of contents for the series--The Patient Digital Health Platform (PDHP) Ecosystem

  1. Patient Digital Health Platforms…A First Take
  2. Will Apple’s Strategic Beachhead Be Doctors, Not Patients?
  3. PowerPoint — 7 Questions Shaping the Patient Digital Health Platform (PDHP) Ecosystem
  4. 7 Questions Are Shaping the Patient Digital Health Platform Ecosystem — HIN Article
  5. Apple ResearchKit is Open Source, But is it “Open”?

PowerPoint — 7 Questions Shaping the Patient Digital Health Platform (PDHP) Ecosystem

PDHPs HU 11, San Diego

I hope you’ll enjoy reviewing my slides from my December 3 presentation at the 11th Annual Healthcare Unbound Conference.

The presentation is formally entitled: “Patient Digital Health Platforms (PDHPs): Epicenter of Healthcare Transformation?”…

…but more informally, I pose and address 7 key questions — the answers to which will shape the future of the PDHP ecosystem.  The answers aren’t all that clear yet because it’s very early and because most of the companies involved haven’t yet shared a lot of details about their plans.

The 7 questions about the emerging PDHP ecosystem are:

1) What’s the “Healthcare Platform Void”

2) How will the emerging PDHP ecosystem reshape the planet?

3) What’s the central issue? It’s about DATA!

4) Will PDHPs converge with mainstream healthcare?

5) How many platforms?

6) What are some “secondary” issues?

7) Why are PDHPs about much more than just healthcare?

You can download a copy of the PowerPoint slides here.

For additional perspectives on PDHPs, take a look at my previous blog post: Patient Digital Health Platforms…A First Take.

 

Table of contents for the series--The Patient Digital Health Platform (PDHP) Ecosystem

  1. Patient Digital Health Platforms…A First Take
  2. Will Apple’s Strategic Beachhead Be Doctors, Not Patients?
  3. PowerPoint — 7 Questions Shaping the Patient Digital Health Platform (PDHP) Ecosystem
  4. 7 Questions Are Shaping the Patient Digital Health Platform Ecosystem — HIN Article
  5. Apple ResearchKit is Open Source, But is it “Open”?

11th Annual Healthcare Unbound Conference, San Diego, December 3-4

 December 3-4, 2014 

San Diego, CA

Technology-Enabled Consumer Engagement & Behavior Change

 Register by November 17th to receive a $100 early bird discount.

 

The Healthcare Unbound Conference will focus on technology-enabled consumer engagement and behavior change.

 

Technologies to be discussed include wearables, mHealth, remote monitoring, eHealth and social media.

Moving beyond just a “cool technology” focus, this event will offer practical approaches for healthcare stakeholders and digital health companies. The program will address the reasons that the sustained adoption of digital health technology is below expectations and what can be done to change that, showing examples of successes and also highlighting lessons learned from failures. The conference is based on the premise that technology by itself is not the solution; the solution must be a combination of process (services), technology and business model (be it all combined in one company or via a network of partners) providing the end-to-end solution.

Conference Chairperson:

Vince Kuraitis, JD, MBA, Principal, Better Health Technologies, LLC

Speakers Include:

Marian Bartlett, PhD, Co-Founder & Lead Scientist, Emotient

James Brady, PhD, FHIMSS, CPHIMS, President, HIMSS Southern CaliforniaChapter & Area CIO, Kaiser Permanente

Eric Brown, President & CEO, California Telehealth Network

Nilesh Chandra, Managing Consultant, PA Consulting Group

Rebecca Chiu, Business Development, MedHelp

Darrel Drinan, President/CEO, PhiloMetron Inc.

Proteus Duxbury, Chief Technology Officer, Connect for Health Colorado

Skip Fleshman, Managing Partner, Asset Management Ventures

Derek Footer, President & Managing Partner, HardTech Lab

Bret Harris, Sr. Manager Business Development, Indiegogo

Royan Kamyar, MD, MBA, Founder & CEO, Owaves

Teri Louden, President, The Louden Network

Stein Lundby, Senior Director of Systems Engineering, Qualcomm

David Luxton, PhD, Research Health Scientist, Naval Health Research Center & Affiliate Associate Professor, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine

Marlene M. Maheu, PhD, Executive Director, TeleMental Health Institute, Inc.

Gregg Masters, MPH, Founder & CEO, HealthInnovation Media

Mark Oswald, Global Head of Enabling Technologies, Janssen Healthcare Innovation

Melissa Palacios, RN, BSN, PHN, Project Manager of Telehealth and Innovative Outreach Solutions, Population Health Department, Sharp Rees-Stealy Medical Centers

J. Summer Rogers, CEO, nPruv

Jakka Sairamesh, PhD, Managing Director, Corporate Strategy and Analytics, The Advisory Board Company & CEO, 360Fresh, Inc.

Patricia Salber, MD, MBA, CEO, Health Tech Hatch & Founder & Host, The Doctor Weighs In

Nick Semple, Managing Consultant, PA Consulting Group

Steven Steinhubl, MD, Director, Digital Health, Scripps Translational Science Institute & Cardiologist, Scripps Clinic

Chris Talbot, Senior Director, Business Development, Qualcomm Life

Gunnar Trommer, PhD

Jim Welch, Executive Vice President, Product Development and Customer Fulfillment, Sotera Wireless

__________________________________________

 For additional information, including sponsorship/exhibition opportunities, please contact TCBI. Email: info@tcbievents.info  Tel: (310) 265-2570 

Quick Links
Conference Website
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Supporting Organizations



Supporting Publications

Bronze Sponsor

Population Health POV — “It’s About Patient Data”

phn

As a member of the Editorial Board of Population Health News,  I was asked to provide some personal perspectives for the October 2014 issue.

Here’s a quick sample:

Optimal population health will depend on obtaining and applying the “right” data — data to analyze individuals and populations, discern patterns, predict high risk/cost patients, enable needed behavior change or interventions and measure and monitor progress.

You can read the full interview by clicking here.

Editorial Advisory Board–Population Health News

Peter Edelstein, M.D.
Chief Medical Officer
LexisNexis Risk Solutions, Atlanta, GA

Frederic S. Goldstein, M.S.
President and Founder,
Accountable Health, LLC
Chair, Board of Directors
Population Health Alliance, Washington, D.C.

Thomas R. Graf, M.D.
Chief Medical Officer, Population Health and
Longitudinal Care Service Lines, Geisinger Health
System, Danville, PA

Paul Grundy, MD, MPH, FACOEM, FACPM
Global Director of Healthcare Transformation, IBM;
President, Patient- Centered Primary Care
Collaborative (PCPCC), Hopewell Junction, NY

James (Larry) Holly, M.D.
CEO, Southeast Texas Medical Associates,
Adjunct Professor, Family & Community Medicine,
University of Texas Health Science Center, San
Antonio School of Medicine; Associate Clinical
Professor, Dept. of I.M., School of Medicine, Texas
A&M Health Science Center, Beaumont, TX

Vince Kuraitis J.D., MBA
Principal and founder, Better Health Technologies,
LLC, Boise, Idaho

Al Lewis
President, Disease Management Purchasing
Consortium International, Inc.; Founder and Past
President, Disease Management Association of
America, Wellesley, MA

David B. Nash, M.D., MBA
Dean, Jefferson School of Population Health,
Thomas Jefferson University, Philadelphia, PA

Tricia Nguyen, M.D.
Executive Vice President, Population Health, Texas
Health Resources; President, Texas Health
Population Health, Education & Innovation Center,
Fort Worth, TX

Jeremy Nobel, M.D., MPH
Medical Director, Northeast Business Group on
Health; Instructor, Center for Primary Care,
Harvard Medical School; Adjunct Lecturer, Harvard
School of Public Health Boston, Mass.

Samuel R. Nussbaum, M.D.
Executive Vice President, Clinical Health Policy,
Chief Medical Officer, WellPoint, Indianapolis, IN

Jaan Sidorov, M.D., MHSA
Principal, Sidorov Health Solutions; Chair, Board of
Directors, NORCAL Mutual Insurance Company,
Harrisburg, PA

What Types of Business Models are Commanding the Highest Valuations? Implications for Healthcare?

valuationQ. What Types of Business Models are Commanding the Highest Valuations?

A.  “Network Orchestrators”

Source: Dion Hinchcliffe, presentation at Salesforce Dreamforce conference, October 14, 2014

Where are there opportunities for “network orchestrators” in healthcare?

• ACOs
• Patient centered medical homes
• High-value health insurance networks
• Care management/population health management vendors & implementers
• Health information exchange networks
• …many others

Post permalink: http://bit.ly/1sKgADl

Will Apple’s Strategic Beachhead Be Doctors, Not Patients?

telescope

Last week Apple held a huge media event to announce forthcoming products, including the iPhone 6, 6+ and Apple Watch.  Many of us in the healthcare world had been sitting on the edge our seats, hopefully awaiting news detailing Apple’s broader strategy in entering healthcare.  We were disappointed — no mention of Apple HealthKit, no doctors on the main stage, only a few teasers about how the Watch might be used in fitness and health monitoring.

Apple is a consumer technology company, and it’s natural to think that their efforts in healthcare will be aimed directly at patients.  However, I’ve been pondering whether that’s looking at Apple’s opportunity through the wrong end of the telescope.

Are physicians — 85% of whom own an iPhone — a much more natural and powerful strategic beachhead for Apple to focus on?

Our focus has been to figure out how to accommodate the 5% of patients that get their peace of mind knowing that they have absolute control of every piece of their data. Our focus really should be on the 95% that get their peace of mind knowing that when they show up in the ER, all of their data will be there.

Lawrence Garber MD, Internist/Medical Director for Informatics, Reliant Medical Group. Comment at ONC JASON Task Force, July 2014.

Permalink: e-caremanagement.com/?p=3815

 

Patient Digital Health Platforms…A First Take

apple
This post was originally published on the HIMSS blog with the title “Patient Digital Health Platforms (PDHPs): An Epicenter of Healthcare Transformation?”

Apple’s recent announcement about its HealthKit platform is a beacon of a much bigger trend. We are at the early stages in the rise of a new business and IT ecosystem:

Patient Digital Health Platforms (PDHPs)

These new platforms should be high on the radar screens of healthcare providers. While v1.0 of PDHPs is starting fairly narrow, companies will be highly incentivized to move up the food chain into mainstream health data exchange, workflow integration, and virtual care delivery. PDHPs portend both opportunities and threats.

I’ll pose and provide some early answers to how the PDHP ecosystem might shape up. Here’s a preview:

  • What’s “The Healthcare Platform Void”?
  • Who Are Initial Players in the PDHP Ecosystem?
  • A Central Question: Will PDHPs Go Narrow or Broad?
  • What Market Pressures Incentivize PDHPs to Go Broad?
  • What Are Early Warning Signs that Some PDHPs Will Go Broad?
  • How Long Will It Take For All This to Play Out?

Consider this an introduction to PDHPs—you will discover more questions than answers. I’ll use Apple HealthKit as a case study to illustrate some examples.