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Intel Health & Life Sciences

42 Posts authored by: Christopher Tackett


The shift from fee-for-service to fee-for-performance is changing the conversation around patient care. Reducing readmissions is one benchmark for analyzing the quality of care, and more discussion is happening around bringing telehealth into the mix to improve this metric.


Traditionally, when patients leave the clinical setting, interaction between the care team and the patient decreases. With telehealth and remote patient monitoring, technology allows the provider team to remain in contact with the patient to follow up on regiments and make sure instructions are followed. The result can be a shift in outcomes for the better.


To learn more about telehealth, we sat down with Fadesola Adetosoye from Dell Healthcare Services, who says telehealth allows patients to overcome challenges, like transportation issues, to obtain better primary care and stay in touch with clinicians following discharge.


Watch the video above and let us know what questions you have about telehealth? Is your organization using a telehealth strategy?

As expected, HIMSS 2016 in Las Vegas was a constant buzz of activity. From the opening keynotes to the exhibit floor to Peyton Manning giving his final speech before announcing his retirement, HIMSS brought the world of healthcare technology together for discussions around moving implementation forward with the ultimate goal of improving patient care.


Our ears were open when attendees came by the Intel booth wanting to talk about some of the trends we are seeing, such as how the patient, and their user generated data, plays into healthcare going forward, precision medicine and personalized treatment plans, and the devices (mobile and wearables) that will drive the volume of data coming our way. booth2.jpg


During the event, we had the opportunity to speak with a number of CMIOs and physicians about their views of healthcare technology. The one thing they all mentioned in common was the rise in patient engagement and how consumers will be owning their own health in the coming months and years. This was perhaps the most shared trend we observed at HIMSS and something that chief information officers are preparing for as they consider the next generation of their health IT infrastructure. This movement will drive more technology adoption on both sides (consumer and clinician) so the need for interoperability and security, in my view, is at an all-time high.


If you were unable to attend HIMSS, or didn’t quite make it to all of the booths at the exhibition, here’s a little glimpse of what Intel was focusing on in our space:


Precision Medicine: Illumina* was on hand and demonstrated its Intel-based, FDA cleared MiSeqDx System*, showcasing how the industry is moving toward clinical genomics. This is especially important as the pace of diagnosing and formulating care plans around cancer accelerates.


Healthcare IT and Devices: Attendees toured a patient and provider experience of the future utilizing Intel® Unite™ collaboration software and Intel® RealSense™ Technology. Booz Allen Hamilton* demonstrated its CareMap* solution enabling patients to input and monitor progress toward their rehabilitation and recovery plan, share this progress with their physician, and communicate with their physician.


Another big topic on the show floor was that as the industry evolves, healthcare is no longer confined to the hospital. Patients now have the ability to monitor their progress with remote patient monitoring (RPM) solutions, and physicians can stay connected to patients, wherever they may be. Our booth partners InterSystems* and Care Innovations* were displaying their innovative solutions in this arena.


Consumer Health: Consumers are generating massive amount of data from wearable devices like the Basis Peak* fitness and sleep tracker. Intel technology is enabling the aggregation and analysis of this data to generate insights for better healthcare management with Intel Health Services Gateway and the Trusted Analytics Platform. See how Oregon Health & Science University* leveraged this technology to help cardiologists analyze Big Data in a next-generation clinical study that merges 24x7 lifestyle data with wearable devices, and clinical records.


Finally, the international flavor at HIMSS continues to grow, showing that healthcare is not limited to a specific country. We met with large contingents from Europe, Asia and Latin America who are looking at healthcare technology as a way to improve care and decrease costs. At the end of the day, that is the real value of HIMSS: the opportunity to collaborate and together improve solutions.


Thank you to everyone who stopped by to visit. It was a terrific week and we are already excited for HIMSS 2017.


What did you find most valuable at HIMSS this year? Did you learn something new that surprised you?



* Other names and brands may be claimed as the property of others.

It’s seems like just yesterday that we were leaving Chicago and basking in the innovation on display at HIMSS 15. Actually, since the last show was in April and now the biggest event in healthcare technology is back in its usual calendar slot, we’re ready for the second HIMSS in less than 12 months.


This year, the healthcare technology community is headed to Las Vegas February 29 to March 3, 2016, to see what innovation will be on the healthcare horizon in 2016 and beyond.  You should expect to see more conversations around how the patient, and their user generated data, plays into healthcare going forward. HIMMS_1.jpg


At Intel, we’re approaching HIMSS 16 with a critical eye on three areas that we feel are focal points for CMIOs: precision medicine, health IT and medical devices, and consumer health. All are patient-focused.


To learn more about these pillars, you’re invited to the Intel booth (#3032) to view the latest technology platforms that focus on the rise of patient engagement and consumer generated health data. We encourage you to stop by and take a guided tour, where you’ll see these demonstrations:


  • Precision Medicine: From genome sequencing to targeted treatment plan all in one day
  • Health IT and Medical Devices: Securely connecting patients, clinicians and their data for proactive healthcare wherever you are
  • Consumer Health: Engaging connections among people, their data and care community to empower health ownership


Outside of the Intel booth, you will find our technology in a number of HIMSS Kiosks that showcase real solutions available today:


  • Population Health Zone Kiosk #14099: IOT Big Cloud Analytics will share how analytics are helping to proactively improve healthcare
  • Connected Health Zone Kiosk #15208: Fujitsu will showcase a communication tool integrated EMR used at the National Cancer Center, personal health record for pregnant women and personal health records for dental solutions
  • Intel Security Kiosk and Cyber Security Challenge #9908: Come take the Security Breach Challenge and learn how to combat cybercrime through efficient breach detection and response


Finally, be sure to follow @IntelHealth on Twitter to keep up-to-date on all the happenings going on at the event. We’ll be live tweeting from the show floor and sharing pictures of new health IT products/services that we discover. We’ll also be giving away a Basis Peak watch every day during HIMSS through a Twitter contest so be on the lookout for how you can win.


HIMSS is always a great event and we are looking forward to seeing you in Las Vegas.


What are you most looking forward to seeing at HIMSS16? Tweet us @IntelHealth.


What should healthcare CIOs be thinking about when it comes to leveraging big data? In the above clip, Nolan Joiner from MarkLogic explains what healthcare CIOs need to understand about relational database technology and data integration.


Watch the short video and let us know what questions you have. Are you using your data to the fullest potential?


Dr.  Charles Macias is the Chief Clinical Systems Integration Office for Texas Children’s Hospital in Houston and a leading proponent of population health analytics. In his practice as an emergency room physician, Macias has seen first-hand the impact of population health and the potential it has to streamline workflows and improve outcomes. We recently sat down with him to discuss his views on population health analytics and where it is headed in the future.


Intel: What is your definition of population health analytics?


Macias: Population health analytics really refers to how an organization, or government, is addressing the healthcare issues of a population at large. While many people think of population health as an entire region, state or country, there’s variable definitions for how we could parse out one’s segment of a population. In my particular setting, for example, we service the pediatric population up to age 21. Our definition of population health is really about what’s happening to children.


Intel: In another blog you told the story of a young asthma patient. How does that experience years ago compare to today in terms of analytics?


Macias: From a population health perspective, in 2004, when that story took place, population health really wasn’t about population health; it was about treating single patients. That was a paper-based world. We had to depend on published research to understand something about the populations, and when you depend only on the published evidence, you’re assuming that somewhere out in this periphery of research you’re going to be able to translate it down to a population that looks like your own. So, if that direct connection doesn’t exist, if your population is very different, you’re at odds with what you’re really going to know about how to treat your population. Today, the story is very different. Today, we have electronic medical records. Today, we have an electronic data warehouse. We can store data and information about our populations. What used to take me six months to find out now can take about 24 hours thanks to updates in our enterprise data warehouse. I have the answer at my fingertips.


Intel: Today in your practice, how do analytics impact your workflow?


Macias: Analytics today has a completely different impact than it did on clinicians five years ago, 10 years ago, and certainly 20 years ago. Number one, it’s given us the understanding that the 800,000 medical articles that are out there that are essentially non-digestible bits of information. They can systematically be filtered into some kind of clinical standards that can be placed into the analytics and matched against the analytics to say this population parallels what this evidence is telling us and, therefore, this clinical standard should really interdigitate with that work and we should understand how that population fits in with that clinical standard. So, now we have the ability to use best practice alerts, health maintenance reminders, and create long term plans of care embedded directly within the medical record.


Intel: What’s your vision for the future of analytics?


Macias: My vision for analytics is in the world of decision support. It’s really about making clinicians’ workflow much smarter and quicker, and much easier. We already know that when we start a day, we have so many patients to see. In my setting I know I’m going to be overwhelmed with a number of patients in the emergency department. If there are ways to translate the work that’s ongoing, the workflow within the EMR to the kind of decision support that’s going to make prediction rules and strategies much easier, that’s going identify the patients at risk for bad outcomes and link them to the right strategies that will help obviate a need for much more escalated care in the future. That’s a win/win. As we begin to place resources against the value that’s given, I see a lot better alignment with where our healthcare infrastructure supports those strategies.


Intel: How do you work with Health Catalyst to get the information you need?


Macias: The role that Health Catalyst has had in our data governance has been critical to evolving to where we are as an organization. We have learned from how we look at populations of care and how we look at our approaches to merging the science of care with operational care process teams. Predictive analytics comes from how we house data in our enterprise data warehouse. It really goes beyond the EMR’s capability of doing bedside analytics; it’s about the bigger picture of integrating all of those critical domains to effectively improve outcomes. It would not have been possible without our partnership with Health Catalyst.


In the above clip, Bill Muth, a solution architect at CDW, explains how strategies for CIOs need to complement an organization’s mission and usually focus on one of three areas: cost, differentiation, and focus. He says mobility is vital to a good health IT strategy.


Watch the video and let me know what questions you have. How did you develop your mobile health IT strategy?


Martha Thorne is the Senior Vice President and General Manager for Population Health at Allscripts. We recently sat down with her to discuss the importance of electronic health records (EHRs), the growing trend toward population health, and the ever-present need for data security. Read the interview below, watch a clip in the video posted above and let me know what questions you have about EHRs.


Intel: What is the importance of electronic health records (EHR) today and how are they progressing toward the future?


Thorne: EHRs continue to be an incredibly important tool for physicians and all health practitioners. What’s interesting to me is that there are many who consider EHRs to be a commodity. What we’re seeing now is that the EHR adoption rate has continued to grow, and what organizations are looking for today is more value. They are seeking ways to make it easier to do documentation, to make sure that information is available at the fingertips of the providers, and to make sure they are reaching out to the consumers and have a way to impact their health behavior. Healthcare organizations have to do all of this with very little extra budget.


Intel: How are consumers fitting into the healthcare information equation?


Thorne: One of the areas that’s really critical right now is consumer engagement. Not just patient engagement, but consumer engagement. There are many consumers who are high users of healthcare and need information about their healthcare status, clinical records, laboratory information and radiology, and diagnostic test results. Many consumers are now coordinating their own care and they’re having to go from specialist to specialist or their primary care to specialist and they need to be able to have that information and communicate appropriately with that next provider. What we’re also seeing in this space, which is really interesting, is that as consumers become more empowered, healthcare providers are needing to understand what it will take to get consumers more engaged in delivering changes to their own health status. So, this really is that next piece beyond just the basics of providing access to a clinical record, but now how do we make sure that we’re engaging with the consumer and they can impact their own health behavior?


Intel: What are you doing to focus on population health, and where do you see that headed in the next few years?


Thorne: Population health is a really broad category. It’s like describing the finance category with many applications underneath. We view population health the same way. There are a variety of different aspects of population health, but, ultimately, what it drives down to is providing a way of managing your patients, your consumers, in helping to improve the health status. First thing we have to do is understand what the current state is. We also need to understand how we’re now going to deliver a way to impact that current state and do it in a cost effective way. What we’re starting to see is information being delivered to providers, and then providers can take on a lot of different forms. It might be health coaches. It might be care navigators. It might be physician providers. It could be the surgeons. But we’re finding ways to deliver information at the point of care and where it makes the most sense, so that data could impact that health behavior of the patients.


Intel: What’s your view on information security now that data is more accessible to many sources?


Thorne: As we see healthcare information becoming more readily available, especially to consumers, they are going to be very interested in how we’re securing that data. What we need to do is look at how we can make information available in the cloud or another secure place that brings with it a high degree of confidence that the information is secure. I suspect that we’re going to see a whole new degree of security coming our way that we haven’t even yet imagined. My sense is that smaller startups could lead on this.


Intel: What type of healthcare IT trends are you seeing?


Thorne: There are several different trends in play right now. In the core EMR environment, we’re going to see a trend towards easier-to-use software for the providers that makes it very fast, simple and intuitive to do documentation and get the basics done. We’re also going to see inclusion of data analytics and genomics in organizing treatment plans. The second trend is a focus on better and more effective care coordination with the consumers. There are a number of different aspects to it, but different patients have different capabilities of engaging in their own health behavior. Ultimately, analytics is going to play a very important role, now and in the future, that will start to inform a lot of what we do and start to provide us with more information and more detail that will help us be more precise in terms of how we manage health. Lastly, we’re seeing a reduction in the inpatient census. What that’s doing is driving a higher inpatient volume in the post-acute network. We’re starting to see a shift towards patients being managed in the post-acute stay, which is more around the lines of home care, skilled nursing facilities and rehab facilities. Allscripts does very nicely with our Care in Motion suite and something that we’re going to continue to grow into the future to help manage those transitions of care and help those patients move back into a home setting where they’re less likely to have a preventable readmission.


As populations age around the world, home healthcare will become a more vital part of caring for senior patients. To learn more about this growing trend, and how technology can play a role, we sat down with Tracey Moorhead, president and CEO of the Visiting Nurse Associations of America (VNAA), which represents non-profit providers of home health, hospice, and palliative care services and has more than 150 agency members in communities across the country.


Intel: How has technology impacted the visiting nurse profession?


Moorhead: Technology has impacted the profession of home care providers, particularly, by expanding the reach of our various agencies. It allows our agencies to cover greater territories. I have a member in Iowa who covers 24,000 square miles and they utilize a variety of technologies to provide services to patients in communities that are located quite distantly from the agencies themselves. It has also impacted the individual providers by helping them communicate more quickly back to the home office and to the nurses making decisions about the course of care for the individual patients.


The devices that our members and their nurses are utilizing are increasingly tablet-based. We do have some agencies who are utilizing smartphones, but for the most part the applications, the forms and checklists that our nurses utilize in home based care are better suited for a tablet-based app.


Intel: What is the biggest challenge your members face?


Moorhead: One of the biggest challenges that we have in terms of better utilizing technology in the home based care industry is interoperability; not only of devices but also of platforms on the devices. An example is interoperability of electronic health records. Our individual agencies may be collaborating with two or more hospital systems, who may have two or more electronic health records in utilization. Combine that with different physician groups or practice models with different applications within each of those groups and you have a recipe for chaos in terms of interoperability and the rapid sharing and care coordination for these various patients out in the field. The challenges of interoperability are quite significant: they prevent effective handoffs, they cause great challenges in effective and rapid care coordination among providers, and they really continue to maintain this fragmentation of healthcare that we’ve seen.


Intel: What value are patients seeing with the integration of technology in care?


Moorhead: Patients and family caregivers have responded so positively to the integration of these new technologies and apps. Not only does technology allow for our nurses to communicate with family members and caregivers to help them understand how to best care for and support their loved ones, but it also allows the patients to have regular communication with their nurse care providers when they’re not in the home. Our patients are able to contact the home health agency or their nurse on days when there may not be a scheduled visit.


I visited a family in New Jersey with one of our agencies and they were so excited that it was visit day. When the nurse arrived not only was the wife there, but the two daughters, the daughter-in-law and also the son were there to greet the nurse and to talk with the nurse at length about the progress of the father and the challenges that they were having caring for him. That experience for me really brought home the person-centered, patient-centered, family-centered care that our patients provide and the technologies that were being utilized in that home not only when the nurse was there but the technologies that the nurse had provided with the family, including a tablet with an app to allow them to contact the home health agency, really made the family feel like they had the support that they needed to best care for their father and husband.


Intel: How are the next generation of home care providers adapting to technology?


Moorhead: The next generation of nurses, the younger nurses who are just entering the field and deciding to devote themselves to the home based care delivery system, are very accustomed to utilizing technologies, whether on their tablets or their mobile phones, and have integrated this quite rapidly into their care delivery models and processes. Many of them report to us that they feel it provides them a significant degree of freedom and support for the care delivery to their patients in the home.


Intel: Where will the home care profession be in five years from now?


Moorhead: I see significant change coming in our industry in the next five years. We are, right now, in the midst of a cataclysm of evolution for the home based care provider industry and I see only significant opportunities going forward. It’s certainly true that we have significant challenges, particularly on the regulatory and administrative burden side, but the opportunities in new care delivery models are particularly exciting for us. We see the quality improvement goals, the patient-centered goals and the cost reduction goals of care delivery models such as accountable care organizations and patient-centered medical homes as requiring the integration of home based care providers. Those organizations simply will not be able to achieve the outcomes or the quality improvement goals without moving care into the community and into the home. And so, I see a rapid expansion and increased valuation of home based care providers.


The technologies that we see implemented today will only continue to enhance the ability to care for these patients, to coordinate care and to communicate back to those nascent health delivery models, such as ACOs and PCMHs.


Mobility is expected to be a hot topic once again at HIMSS 2015 in Chicago. Tablets like the Surface and Windows-based versions of electronic health records (EHRs) from companies such as Allscripts are helping clinicians provide better care and be more efficient with their daily workflows.


The above video shows how the Surface and Allscripts’ Wand application are helping one cardiologist improve patient engagement while allowing more appointments throughout the day.  You can read more in this blog.


Watch the video and let us know what questions you have. How are you leveraging mobile technology in your facility?

The countdown to HIMSS 15 is on. Next month, the healthcare technology community gathers in Chicago April 12-16 for the world’s largest health IT event to see what devices, software, infrastructure and security architecture will be shaping the landscape in 2015 and beyond.


At Intel, we’re approaching HIMSS with a critical eye on three areas that we feel are focal points for CMIOs:


  • The right mobile device for the right decisions at any point of care
  • Clinical analytics
  • Consumer health (IoT, wearables) and the next generation of devices


To learn more about these pillars of healthcare technology, you’re invited to the Intel booth (#2525) to view the latest hardware and software that clinicians are beginning to utilize. We encourage you to sign up to take a guided tour, where you’ll see:


  • A simulated collaboration room with working technology
  • A device bar with applications and demonstrations
  • Server and analytics stations
  • An IoT/wearables table featuring Google Glass, sensors, headphones, and ultrasound technology


When you take a booth tour you’ll also have a chance to win a tablet computer in our HIMSS drawing.


Outside of the Intel booth, you will find our experts sharing their knowledge in a number of forums. For example:


Finally, be sure to follow us on Twitter to keep up-to-date on all the happenings going on at the event. We’ll be live tweeting from the show floor and sharing pictures of cool health IT products/services that we discover.


HIMSS is always a great event and we are looking forward to seeing you in Chicago.


What questions about HIMSS do you have? What are you most looking forward to seeing during the show?


Bradley Dick is Chief Information Officer at Resurgens Orthopaedics, one of the largest orthopedics practices in the country with 97 orthopedic surgeons, 21 locations in an around metro Atlanta, six outpatient surgery centers, and nine imaging facilities. We recently caught up with him to get his thoughts on his organization’s mobile technology strategy and why mobile technology is growing in healthcare.


Intel: What is the mobile strategy for your organization?


Dick: Our mobile strategy is to empower the physician at the point of care. It’s not tied to a particular device. Data is really the power of mobile healthcare technology and the key is to get the data to the practitioner at the point of care so they can make decisions and not impact the workflow. We found that with any type of solution, if it significantly impacts workflow it will not be successful.


Intel: What types of solutions have you successfully implemented recently?


Dick: The most recent solution we implemented is the Allscripts TouchWorks EHR for Windows 8. We wanted a solution that would enable the provider to have the entire episode of care available to them; everything starting when the patient walked into the building to the time they left the facility. Other solutions did not have the same multi-tasking functionality or support for other applications.


Intel: What has helped drive the growth of mobile technology in healthcare?


Dick: One of the big drivers of mobile healthcare technology is the ubiquity of bandwidth. With great bandwidth available, it opens us up to a lot of interesting possibilities. A lot of the big data systems we are starting to look at are going to be key in the mobile space because behind the scenes, we have to get that data to the clinician at the point of care. That’s always been the big challenge. Data is only as good as it is integrated into the actual care of the patient and bandwidth makes that possible.


Intel: What should CIOs be thinking about when it comes to mobile technology?


Dick: Healthcare CIOs should be thinking about the workflows of their clinicians and look to find ways that they can make those workflows more efficient. Trust me, physicians are using mobile devices and want to have that technology and the data. The key is to collaborate with providers and care coordinators to find the right tools. It will be much more successful if you integrate them into the process rather than come up with a process on your own.


Intel: What keeps you up at night when it comes to healthcare technology?


Dick: What keeps me up at night is the worry that we are not innovating enough. We have been focusing on regulatory compliance so much I don’t think we are innovating. EHRs are not innovation. We need to start seeing the smaller companies introduce solutions that we can integrate into our systems and have some sort of interoperability. Right now it’s almost impossible for the small companies to get our attention because we know they cannot integrate into our systems.

Home healthcare practitioners need efficient, reliable access to patient information no matter where they go, so they need hardware solutions that meet their unique needs. Accessing critical patient information, patient file management, seamless multitasking and locating a patient’s residence, are daily tasks for mobile healthcare professionals. Mobile practitioners don’t have access to the same resources they would if they were working in a hospital, so the tools they use are that much more critical to accomplishing their workload. Fortunately, advances in mobile computing have created opportunities to bridge that gap.


An Evolved Tablet For Healthcare Providers


As tablets have evolved, they’ve become viable replacements for clunky laptops. Innovation in the mobile device industry has transformed these devices from media consumption platforms and calendar assistants into robust workhorses that run full-fledged operating systems. However, when it comes to meeting the needs of home healthcare providers, not all tablets are created equal.


A recent Prowess Consulting comparison looked at two popular devices with regards to tasks commonly performed by home healthcare workers. The study compared an Apple® iPad Air™ and a Microsoft® Surface™ Pro 3 to determine which device offers a better experience for home healthcare providers, and ultimately, their patients.


Multitasking, Done Right


One of the biggest advantages to the Surface™ Pro 3 is its ability to let users multitask. For example, a healthcare worker can simultaneously load and display test results, charts, and prescription history via the device’s split-screen capabilities. A user trying to perform the same tasks on the iPad would find themselves running into the device’s limitations; there are no split-screen multitasking options on the iPad Air™.


The Surface™ Pro 3’s powerful multitasking abilities combined with the ability to natively run Microsoft Office gives home healthcare providers the ability to focus more time on patient care and less time on administrative tasks. Better user experience, workflow efficiency, file access speed, and split-screen multitasking all point to the Microsoft® Surface™ Pro 3 as the better platform for home healthcare providers.


For a full rundown of the Surface™ Pro 3’s benefits to home healthcare workers, here.


What questions about mobile tablets in healthcare do you have?

Clinicians are on the front lines when it comes to using healthcare technology. To get a doctor’s perspective on health IT, we caught up with Dr. Sandhya Pruthi, medical director for patient experience, breast diagnostic clinic, at Mayo Clinic Rochester, for her thoughts on telemedicine and the work she has been undertaking with remote patients in Alaska.




Intel: How are you involved in virtual care?


Pruthi: I have a very personal interest in virtual care. I have been providing telemedicine care to women in Anchorage, Alaska, right here from my telemedicine clinic in Rochester, Minnesota. I have referrals from providers in Anchorage who ask me to meet their patients using virtual telemedicine. We call it our virtual breast clinic, and we’ve been offering the service twice a month for the past three years.


Intel: What services do you provide through telemedicine?


Pruthi: We know that in some remote parts of the country, it’s hard to get access to experts. What I’ve been able to provide remotely is medical counseling for women who are considered high risk for breast cancer. I remotely counsel them on breast cancer prevention and answer questions about genetic testing for breast cancer when there is a very strong family history. The beauty is that I get to see them and they get to see me, rather than just writing out a note to their provider and saying, “Here’s what I would recommend that the patient do.”


Intel: How have patients and providers in Alaska responded to telemedicine?


Pruthi: We did a survey and asked patients about their experience and whether they felt that they received the care they were expecting when they came to a virtual clinic. The result was 100 percent satisfaction by the patients. We also surveyed the providers and asked if their needs were met through the referral process. The results were that providers said they were very pleased and would recommend the service again to their patients.


Intel: Where would you like to see telemedicine go next?


Pruthi: The next level that I would love to see is the ability to go to the remote villages in the state of Alaska, where people have an even harder time coming to a medical center. I’d also like to be able to have a pre-visit with patients who may need to come in for treatment so we can better coordinate their care before they arrive.


Intel: When it comes to telemedicine, what keeps you up at night?


Pruthi: Thinking about how we can improve the patient experience. I really feel that for a patient who is dealing with an illness, the medical experience should wow them. It should be worthwhile to the patient and it should follow them on their entire journey—when they make their appointment, when they meet with their physician, when they have tests done in the lab, when they undergo procedures. Every step plays a role in how they feel when they go home. That’s what we call patient-centered care.

Health IT is a hot topic in the Empire State. New York was the first state to host an open health data site and is now in the process of building the Statewide Health Information Network of New York. The SHIN-NY will enable providers to access patient records from anywhere in the state.


To learn more, we caught up with Howard A. Zucker, MD, JD, who was 22 when he got his MD from George Washington University School of Medicine and became one of America's youngest doctors. Today, Zucker is the Acting Commissioner of Health for New York State, a post he assumed in May 2014. Like his predecessor Nirav R. Shah, MD, MPH, Zucker is a technology enthusiast, who sees EHRs, mobile apps and telehealth as key components to improving our health care system. Here, he shares his thoughts.


What’s your vision for patient care in New York in the next five years?


Zucker: Patient care will be a more seamless experience for many reasons. Technology will allow for further connectivity. Patients will have access to their health information through patient portals. Providers will share information on the SHIN-NY. All of this will make patient care more fluid, so that no matter where you go – a hospital, your doctor’s office or the local pharmacy – providers will be able to know your health history and deliver better quality, more individualized care. And we will do this while safeguarding patient privacy.


I also see a larger proportion of patient care taking place in the home. Doctors will take advantage of technologies like Skype and telemedicine to deliver that care. This will happen as patients take more ownership of their health. Devices like FitBit amass data about health and take steps to improve it. It’s a technology still in its infancy, but it’s going to play a major role in long term care. zucker_263x329.jpg


How will technology shape health care in New York and beyond?


Zucker: Technology in health and medicine is rapidly expanding – it’s already started. Genomics and proteomics will one day lead to customized medicine and treatments tailored to the individual. Mobile technology will provide patient data to change behaviors. Patients and doctors alike will use this type of technology. As a result, patients will truly begin to “own” their health.


Personally, I’d like to see greater use of technology for long-term care. Many people I know are dealing with aging parents and scrambling to figure out what to do. I think technology will enable more people to age in place in ways that have yet to unfold.


What hurdles do you see in New York and how can you get around those?


Zucker: Interoperability remains an ongoing concern. If computers can’t talk to each other, then this seamless experience will be extremely challenging.


We also need doctors to embrace and adopt EHRs. Many of them are still using paper records. But it’s challenging to set up an EHR when you have patients waiting to be seen and so many other clinical care obligations. Somehow, we need to find a way to make the adoption and implementation process less burdensome. Financial incentives alone won’t work.


How will mobility play into providing better patient care in New York?


Zucker: The human body is constantly giving us information, but only recently have we begun to figure out ways to receive that data using mobile technology. Once we’ve mastered this, we’re going to significantly improve patient care.


We already have technology that collects data from phones, and we have sensors that monitor heart rate, activity levels and sleep patterns. More advanced tools will track blood glucose levels, blood oxygen and stress levels.


How will New York use all this patient-generated health data?


Zucker: We have numerous plans for all this data, but the most important will be using it to better prevent, diagnose and treat disease. Someday soon, the data will help us find early biomarkers of disease, so that we can predict illness well in advance of the onset of symptoms. We will be able to use the data to make more informed decisions on patient care.


Efficiency is the goal for streamlined, affordable healthcare. But how do we get there?


In the above video, Gabi Daniely, vice president of Stanley Healthcare, talks about the company’s five hospital category solutions and how they can improve the operational efficiency of healthcare facilities.


How are you improving your facilities’ efficiency? Watch the clip and let us know what questions you have.