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10 Best mHealth Papers of 2012

10 Best mHealth Papers of 2012 | eHealth - Social Business in Health | Scoop.it

The mobile health (mHealth) space, especially as it relates to health behavior change and chronic and infectious disease management, has been a long running theme of mine for increasing reach, effectiveness, efficiency and equity of interventions.


Via bacigalupe
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Gr8 review!

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eHealth - Social Business in Health
ehealth, integrating care, health monitoring, on line communication, interaction and (mobile) technology to care for health better
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eHealth - the Introduction

eHealth - the Introduction | eHealth - Social Business in Health | Scoop.it
eHealth - The Introduction..
See in a short overview what ehealth actually is and what steps you may take to apply it to your proper organization.
Furthermore: learn about the ehealth thought lab...
rob halkes's insight:

A precis about ehealth = Learn how you could direct your way to ehealth initiatives and the direction into your future of provision of care

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Your eHealth Initiative - Three Strategic Steps

Your eHealth Initiative - Three Strategic Steps | eHealth - Social Business in Health | Scoop.it
Implementing an eHealth initiative is the first step in moving your healthcare organization to the forefront of eHealth technology. For instance, how would your organization make use of this revolutionary eHealth initiative innovation? How would you react if patients began asking to connect their eHealth applications to your information system?  eHealth initiatives require an analysis of your entire workflow from operations to systems and technology, from clinical and financial performance to implementation.

eHealth initiative general outcomes expected include benefits to providers and to patients, rapidly expanding technological tools, and even more use of internet based activities.

Working with The Fox Group’s eHealth experts through our three strategic eHealth Thought Lab meetings allows you to get customized knowledge on the processes and strategic changes that must be made in order to maximize the eHealth initiative potential within your organization. Each eHealth Thought Lab meeting will be tailored to your situation, and can jump-start your organization’s eHealth initiatives.  By the end of this series of three strategic meetings, you will have an appreciation of the potential for your organization to embark on a meaningful eHealth initiative. [..]

I.  The Current eHealth Initiative: a short, to the point workshop introducing the main elements of the eHealth initiative, a working definition, the effectiveness and implications of eHealth in the future.  You select the proper internal stakeholder audience of your organization.

  • This workshop is a quick tour around basic issues, examples of effective applications, and rationales for undertaking an eHealth initiative.
  • Benefits include (1) development of a common frame of reference within your internal stakeholder audience; (2) correction of mis-perceptions and biases; (3) clarify expectations as to the impact of an eHealth initiative; (4)  follow up; and (5) motivation to get things going.

II.  eHealth Discussion and Analysis: a workshop reviewing your current eHealth applications, including electronic health record systems, mobile health, internet-based, social media interaction tools, telemedicine, and similar components.  It will also address your organizational enthusiasm and/or challenges to creating a strategic planning process addressing the future in eHealth technologies as they unfold.  Discussion between your representatives and experts from The Fox Group will run deep into several aspects of the eHealth initiative phenomenon.

  • Using tailored examples fitting your organization, moderators of The Fox Group will demonstrate how eHealth technologies pertinent to providers, patients and your organization can result in a successful eHealth initiative for your organization.
  • Implications for your organization to be addressed include (1) consequences of the use of eHealth technologies to operations, organization, and Information Technology resources; (2) costs of care and administration;  and (3) satisfaction of patients and other stakeholders.

III. eHealth Strategic Planning: a strategic workshop, where you discuss currently existing concepts, modules, and devices available to you and your patients.  The final step is to identify the strategic  actionable steps to implement your eHealth initiative, bridging the gap between what is available and what needs to be developed.

  • Within the workshop, you and your selected stakeholders will reflect on the organization’s actual situation, both from a medical, organizational (structures, processes, staff, IT), and financial and patient perspective.  Wishes, challenges, and criteria for a successful eHealth initiative development path are explored. Initial ideas about a specific eHealth initiative can be discussed and placed in a framework of pros and cons.
  • Financial considerations will be addressed as well.  This strategic plan outline will be tailored to capture the ROI, patient and provider benefits and ultimate outcome expectations of your eHealth initiative. Government, payor, and regulatory issues are addressed as well.
  • Expectations and outcome: The output is a structured roadmap defining the path to development and implementation of your eHealth initiative, fully tailored to your specific situation. [..]
rob halkes's insight:

This is my and the Fox group's take on approaching ehealth. Yes it is promotional, but firmly based on experience and expertise. I thought one could do with the three step approach: update on what, discussing the impact for you and setting up a clear and effective plan to accomodate and develop your practice in health

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Dutch eHealth-monitor 2014 - Nictiz.nl - Nivel.nl

Dutch eHealth-monitor 2014 - Nictiz.nl - Nivel.nl | eHealth - Social Business in Health | Scoop.it

The Dutch ehealth monitor of the Netherlands has been released recently. There is no English translation yet, nor a summary, but a English infographic is presented at this post on the website. Here you can see that ehealth is steadily but I guess, firmly growing in NL.


More healthcare users say their GP allows them to make online appointments: from 7% in 2013 to 13% in 2014; or request repeart prescriptions: from 21% to 30%.

More GP's, 93% to 98% (!) and medical specialists, 66% to 75% use mainly or exclusively electronic records!


However no major shifts are found in the use of eHealth compared to 2013.

There will be greater coordination in the area of eHealth. The Ministry of Health Welfare and Sport sets concrete objectives, and parties 'in the field' seek each other out for joint activities!


Four things stood out in the study:

  1. eHealth in the workplace is still not always 'plug and play'
  2. Process innovation is difficult
  3. Healthcare users and healthcare providers do not always see sufficient added value
  4. Healthcare users are often unaware of possibilities already available

For a real, large scale use of eHealth a good balance is needed between the investment in money and effort and the experience added value in terms of imprived care, convenience and financial benefits.


See here for Nictiz  and here for Nivel the sources and down;oads of inforgroaphic (in English too) and the report (Dutch).

rob halkes's insight:

I would say that experience demonstrates that ehealth initiatives may be initiated by small efforts to digital services from physicians to patients, like repeat prescriptions. These are relatively easy first steps.
However, when it comes to more complicated developments in digital health involving interaction, exchange of data and information, and communication between professionals and patients, that is a more heavy change to conquer. It needs more motivation, organization and perseverance on the site of the professionals besides the readiness of technology. More support to implementation seems to be necessary.

I reckoned that on the basis of my own experience from early on.

See some information to this here.

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Health 2.0 London _ Inspiring in relation with PatientView: new acknowledgements about patients preferences for health apps!

From Rob Halkes, manager Patient View in the Netherlands, and advisor to Health20.


This uear's edition of Health20, London, November 10-12, will especially be of large interests to both Health App developers, Healthcare providers and patients. Alexandra Wyke from PAtient View will present the outcomes of the first global research for Patients' wishes and demands regarding their health apps.

Here is a first view to the outcomes,

But at the conference more will be presented!

rob halkes's insight:

I am very thrilled to view the scoop presentation by  dr. Alexandra Wyke on the first day of Health20 in London2014, November 10th: "Choosing and Prescribing an App!" - based on the first global research of patients' wishes and demands about their Health Apps.


Do you wan to come, make your reservation with this 15% reduction code: SPCL15 ! You're welcome!

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ACOs held back by poor interoperability | Healthcare IT News

ACOs held back by poor interoperability | Healthcare IT News | eHealth - Social Business in Health | Scoop.it
Most accountable care organizations have health information technology in place to improve quality and lower costs, but many say difficulties with data exchange are keeping them from reaching their potential.

Of the 62 ACOs polled by Premier healthcare alliance this past summer, 88 percent report "significant obstacles" in integrating data from disparate sources. Also, 83 percent say they have a hard time fitting analytics tools into their workflow. As ACOs grow, gathering data from more and different care settings, these challenges become more accute, according to Premier.

Cost and ROI are also cited as key roadblocks to more effective implementation of health IT, according to 90 percent of respondents.

Even when ACOs have successfully merged health IT systems, "they aren't able to effectively leverage data and analytics to derive value out of their investments given the pervasive issues with data quality, liquidity and access, as well as issues with integrating data from disparate sources," said Keith J. Figlioli, Premier's senior vice president of healthcare informatics, in a press statement announcing the findings.


The numbers reported in the survey suggest interoperability is a "pervasive problem among ACOs, and it could stymie the long-term vision for ACO cost and quality improvement if not addressed," Figlioli added.

The good news is that ACOs are reporting heartening improvements in clinical quality (66 percent), preventive screenings and vaccinations (63 percent), chronic disease management (59 percent) and health outcomes (55 percent). But those percentages could be even higher.

"While accountable care organizations are providing quality care for many patients, even more could be accomplished if interoperability issues were addressed," said Jennifer Covich Bordenick, chief executive officer, eHealth Initiative. "However, the cost of interoperability can be prohibitive for many organizations."

In a Sept. 24 call discussing the report's findings, Bryan Bowles, Premier's vice president for population health solution management, noted that this new era of shifting risk from payers to providers requires a lot of these organizations, necessitating that they manage health at both an indvidual and population level, and make smart use of clinical, claims, financial and administrative data.

See more here in the original blog

rob halkes's insight:

A great example showing that there's more to ehealth than just technology. Apart from this, taking ehealth initiatives, means a good think through of all aspects of the health care process. But we are getting there. Let people with experience help!

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Mobile Applications for Diabetes Self-Management: Status and Potential

Mobile Applications for Diabetes Self-Management: Status and Potential | eHealth - Social Business in Health | Scoop.it

Journal of Diabetes Science and Technology, Vol. 7, Issue 1 Jan. 2013.

El-Gayar, Timsina and Nawar.


ABSTRACT

Background:
Advancements in smartphone technology coupled with the proliferation of data connectivity has resulted in increased interest and unprecedented growth in mobile applications for diabetes self-management. The objective of this article is to determine, in a systematic review, whether diabetes applications have been helping patients with type 1 or type 2 diabetes self-manage their condition and to identify issues necessary for large-scale adoption of such interventions.
Methods:
The review covers commercial applications available on the Apple App Store (as a representative of commercially available applications) and articles published in relevant databases covering a period fromJanuary 1995 to August 2012. The review included all applications supporting any diabetes self-management task where the patient is the primary actor.
Results:
Available applications support self-management tasks such as physical exercise, insulin dosage or medication, blood glucose testing, and diet. Other support tasks considered include decision support, notification/alert, tagging of input data, and integration with social media. The review points to the potential for mobile applications to have a positive impact on diabetes self-management. Analysis indicates that application usage is associated with improved attitudes favorable to diabetes self-management. Limitations of the applications include lack of personalized feedback; usability issues, particularly the ease of data entry; and integration with patients and electronic health records.
Conclusions:
Research into the adoption and use of user-centered and sociotechnical design principles is needed to improve usability, perceived usefulness, and, ultimately, adoption of the technology. Proliferation and efficacy of interventions involving mobile applications will benefit from a holistic approach that takes into account patients’ expectations and providers’ needs.


J Diabetes Sci Technol 2013;7(1):247–262    

rob halkes's insight:

There is good perspective to mobile health (ehealth) applications to self management in diabetes. However, as this research review suggests: we need to know more about use and socio technological influences. As I repeat myself: ehealth mhealth is NOT about technology: it is about implementation. Let's go for that!

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VPO Press Release - New Survey Signals Promise For Mobile Technology To Advance Mental Healthcare Treatment

VPO Press Release - New Survey Signals Promise For Mobile Technology To Advance Mental Healthcare Treatment | eHealth - Social Business in Health | Scoop.it

Clinical psychologists believe mobile technology applications geared to mental healthcare treatment have potential to improve patient care and practice management, based on a recent national survey conducted by market research firm Sigma Research. According to industry experts, the new research signals a readiness among mental healthcare professionals to adopt new mobile technologies that can bridge data gaps to improve therapy practice.


rob halkes's insight:

It helps! Apps for tracking mental care effects!


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Survey: 75 percent of patients want digital health services | mobihealthnews

Survey: 75 percent of patients want digital health services | mobihealthnews | eHealth - Social Business in Health | Scoop.it

According to a survey of thousands of patients in Germany, Singapore, and the United Kingdom, the adoption of digital healthcare services remains low because existing services are either low quality or not meeting patients’ needs. The survey, conducted by consulting firm McKinsey, included responses from at least 1,000 patients in the three countries.

“Many healthcare executives believe that, due to the sensitive nature of medical care, patients don’t want to use digital services except in a few specific situations; decision makers often cite data that point to relatively low usage of digital healthcare services,” McKinsey analysts Stefan Biesdorf and Florian Niedermann wrote in a recent blog post. “In fact, the results of our survey reveal something quite different. The reason patients are slow to adopt digital healthcare is primarily because existing services don’t meet their needs or because they are of poor quality.” 

McKinsey found that more than 75 percent of respondents would like to use some kind of digital health service. Many are interested in “mundane” offerings, the firm wrote.


rob halkes's insight:

Great Survey results, aligning with what experts already thought. Results generated by Germany, Singapore and the UK, but believed to be representative of patients in these advanced markets.


See my conclusions upon reading the report here

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Marisa Maiocchi's curator insight, July 25, 2014 10:32 AM

Los resultados de una encuesta parecen derribar algunos mitos respecto de la "salud móvil" o m-health como "Esta tecnología solo la usan los jóvenes".

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Researchers at Intermountain Medical Center develop new smartphone technology and app to diagnose and monitor adrenal gland diseases

Researchers at Intermountain Medical Center develop new smartphone technology and app to diagnose and monitor adrenal gland diseases | eHealth - Social Business in Health | Scoop.it
Diseases of the adrenal gland have long been difficult to diagnose. But now, researchers have found an affordable and easy way to diagnose and monitor endocrine diseases of the adrenal gland by using saliva and a smartphone.

Researchers at Intermountain Medical Center in Murray, Utah, have developed new smartphone technology to help screen patients for a number of adrenal gland diseases, including Cushing's syndrome. The new tool also helps to identify adrenal insufficiency, monitor cortisol replacement and assess physiologic changes in adrenal function.

Adrenal diseases are commonly overlooked because measuring cortisol, the so-called "stress hormone" that is released by the adrenal glands as part of the fight-or-flight mechanism, is costly and complicated, especially for those with limited resources, say researchers.

"When cortisol levels are overlooked too many people suffer and die because of excess or insufficient cortisol," said Joel Ehrenkranz, MD, director of diabetes and endocrinology at Intermountain Medical Center, and lead researcher of the project.

To help solve this problem, researchers developed a simple saliva test that uses a smartphone and an attached device that inexpensively feeds the results of a saliva test into the smart phone. An app then quantifies and interprets the results of a salivary cortisol assay and gives results in five minutes at the point of care.

"The cortisol assay is similar in design to a home pregnancy test and urine sample drug tests," says Dr. Ehrenkranz. "It's like having an endocrine specialist in your phone."

[...]

The new technology will especially help diabetic patients.

For diabetics, controlling stress levels is key to controlling cortisol levels, which helps prevent and control the disease. Stress increases the levels of cortisol in their body, and elevations in cortisol impair the body's ability to metabolize glucose. This increases blood glucose levels. High cortisol levels also affect the body's ability to fight infections, lose weight and recovery from injury.

"What this means is when blood cortisol levels are too high, insulin will not lower blood sugar," said Dr. Ehrenkranz. "Elevations in cortisol decrease the effectiveness of insulin and other drugs used in the treatment of diabetes. Having the ability to easily and inexpensively measure cortisol levels is important in managing diabetes."


See also http://mobihealthnews.com/34753/intermountain-researchers-develop-smartphone-based-lab-test-for-stress/

rob halkes's insight:

Great example of Intermountain Health development of Mobile Med Tech - a first step into further development of ehealth eco systems for diabetes and other chronic diseases needing "..to identify adrenal insufficiency, monitor cortisol replacement and assess physiologic changes in adrenal function"

This development however will take some next steps into adopting the right processes and actions to create functional interaction with patients. I would say: go on! ;-)

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Customer - customer journey - customer experience mapping

Customer - customer journey - customer experience mapping | eHealth - Social Business in Health | Scoop.it
Pins about Customer "hand-picked" by Pinner Rob Halkes | See more about customer experience, infographic and marketing.
Health care development is in the business of creating more patient - professional interaction in health care, improving interaction, communication and understanding. In preparing my consultancy work, e.g. to help health care professionals with co-creating care, I came across these pins. Maybe you like them.For your information see here: http://www.healthbusinessconsult.com/co-creation-in-health-care/
rob halkes's insight:
Pins with regard to putting "customers" first: how to, like mapping the customer journey and/or customer experience. Imagine when health care professionals would work like this..;-)
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Marcia Marinho's curator insight, July 11, 2014 11:22 AM

Costumer Experience Mapping

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Western Europe's Social Users Choose Personalization over Privacy

Western Europe's Social Users Choose Personalization over Privacy | eHealth - Social Business in Health | Scoop.it
Advertisers in Western Europe will spend $2.54 billion this year on social network ads to reach the region's 178.2 million social users, according to a new eMarketer report. While privacy concerns remain an issue, Western Europe's social networkers often put them aside for personalized experiences.
rob halkes's insight:

Yes we knew about this trend, but THE question remains whether this goes the same for all other kind of services AND for health services?  I don't think so if i take myself as representative example, but one never knows. I 'll be happy with anyone knowing about research with this distinction?

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Nictiz.nl - Summary eHealth monitor 2013

Nictiz.nl - Summary eHealth monitor 2013 | eHealth - Social Business in Health | Scoop.it

The Dutch national eHealth monitor was conducted by Nictiz and NIVEL. The survey monitors the availability and use of eHealth applications by healthcare users and healthcare providers.

See the summary through this link. You kay also download here ..

rob halkes's insight:

The Netherlands score very well on progress in eHealth. But the conclusion of the monitor is: there's is still a lot to be done ...


See infographics here:

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4 New Lessons on Patient Experience from Disney

4 New Lessons on Patient Experience from Disney | eHealth - Social Business in Health | Scoop.it

It’s been 10 years this month since Fred Lee published his book “If Disney Ran Your Hospital: 9 1/2 Things You Would Do Differently.” The book offers hospital administrators and service line directors key insights for transforming their “services” to “experiences,” including:

  • Generating loyalty by doing memorable things that patients don’t expect
  • Being alert on people’s needs and taking initiative, before they ask for it
  • Shifting from “our services” to the guest’s story


Over the past year, the Disney team – masters at consumer engagement – has transformed their entire experience with the addition of their MyMagic+ program. Hospitals can take this opportunity to learn from Disney’s leading-edge strategies about where experiences are going next:

  1. The Move To Digital ...
  2. Online Planning Ahead from Home ...
  3. Personalization ...
  4. Collaboration ...

At first glance, these may all look only like guest benefits. However, every interaction produces a bit of valuable guest-generated data, and Disney uses the data to learn more about what works and what needs improvement in their entire operation. They can better understand patterns of guest behavior and desires. They can quickly uncover dissatisfiers. They will have insights into which rides and restaurants are pulling their weight and which are not. Plus, they can better tailor each guest’s offer for their next visit based on past behavior. This kind of real-time data goes way beyond satisfaction surveys. Its wired back into the process to create a fast loop for continuous improvement.

Beyond data advantages, when guests take the time to plan in advance, it produces operational efficiencies for improved capacity and revenue growth. Disney recently stated the technology investment is beginning to pay off in: increased park capacity (more volume), visitors spending more time on property (more money), and a better experience (more loyalty). A great example demonstrating that being centered on the guest and their experience results in benefits for the provider.

Today, digital patient engagement technologies offer the same vision for healthcare: A personalized end-to-end patient-centered experience with at least one “memorable moment.” Patients preparing for surgery or working on treatment care plans from home, collaborating with friends and family online. True visibility for administration on what’s working and what’s not in their programs. Sound like a place “Where Dreams Come True”?





Via Marc Phippen, COUCH Medcomms
rob halkes's insight:

Focusing on what the patient wants, and needs to cope with his or her conditions and therapy is a great principle to follow. Patient advocates, epatients, interviews, analysing the "patient journey" through your health care, gathering data about his or her activities/behaviour - all will open your window to insights about them. Take the effort!

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Lori Eddlemon's curator insight, May 15, 2014 11:29 AM

Valuable lesson regardless of the type of business you manage.

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Philips and Leiden University Medical Center extend collaboration with new research agreement on healthy aging and personal health

Philips and Leiden University Medical Center extend collaboration with new research agreement on healthy aging and personal health | eHealth - Social Business in Health | Scoop.it
  • Collaboration aims to build scientific foundation for development of  health-related wearable and mobile technologies
  • Partners will run clinically relevant trials among the elderly to identify and improve how people respond to lifestyle intervention programs that use health and activity sensors
  • Goal is to promote healthy living and active ageing lifestyles, prevent chronic disease, tailor clinical care and manage the aging process

 

Amsterdam, the Netherlands – Royal Philips (NYSE: PHG, AEX: PHIA) and Leiden University Medical Center (LUMC) today announced a new research collaboration aimed at improving preventative care and chronic care through wearable technologies. The organizations intend to attain new data-driven insights into the relationship between lifestyle and health in elderly people. This will support the development of personalized coaching solutions using wearable sensors to help people to age more healthy and reduce the impact of illness and chronic conditions.

 

As people live longer and lifestyles change, more people are confronted with chronic disease. In addition to having a major impact on people’s quality of life, this puts increased pressure on healthcare systems.

 

New wearable sensor technologies are rapidly becoming available and could play an important role in healthy lifestyles and treatment compliance. The current challenge is to turn the data these new devices offer into clinically relevant information. This will help build scientifically proven and clinically validated solutions to improve the outcomes of lifestyle intervention programs and medical treatments.

 

See more here

rob halkes's insight:

We know by now of the potential of digital applications in health, mhealth and wearables. But we need these intitiatives like Philips and LUMC announced today to gain insights whether it works, bbut also how it works and how it might me implemented in real care. Congrats!

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What do patients and carers want from health apps? Summary of outcomes of global survey by PatientView

What do patients and carers want from health apps? Summary of outcomes of global survey by PatientView | eHealth - Social Business in Health | Scoop.it

Visit the post for more.

rob halkes's insight:

Great Insights from patients' themselves baout their experiences as unmet needs in usoing their health apps!

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Michael Seres's curator insight, November 22, 2014 8:14 AM

some fascinating patient insights here.

 

Ginny Dillon's curator insight, December 28, 2014 4:48 PM

"What patients want" ... listen .....

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Telemonitoring reduces readmissions 44 percent in 4-year, 500-patient study | mobihealthnews #hcsmeu

Telemonitoring reduces readmissions 44 percent in 4-year, 500-patient study | mobihealthnews #hcsmeu | eHealth - Social Business in Health | Scoop.it

Via IHEALTHLABS EUROPE
rob halkes's insight:
Research on eHealth now presents data that it really can safe costs. Not "just like that" of course, but one needs to accommodate to get to these results. See for instance here, to things to be thought through: http://www.healthbusinessconsult.com/telemedicine-ehealth-mobile-health/
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Michael Seres's curator insight, November 22, 2014 8:16 AM

Will that percentage increase with the growth of #wearables

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My TED Talk: Leading in the Digital Era - Charlene Li

My TED Talk: Leading in the Digital Era - Charlene Li | eHealth - Social Business in Health | Scoop.it

{…]

The title of my talk was “Giving Up Control: Leading in the Digital Era”. One key data point from Gallup that continues to astound me is that worldwide only 13% of people are engaged in their work. It’s higher in the US, standing at 30% but that’s still terrible!

I believe that a big reason for this is that we don’t give enough autonomy to, and respect the growing agency of our employees, especially for the Millennials who crave purpose and meaning in their work. The hierarchies that exist in our organizations were designed for a bygone era where efficiency and scale were paramount. But today, speed, innovation, and creativity are the sources of competitive advantage.

Companies have been responding, deploying collaboration platforms and enterprise social networks to connect people throughout the organization. Shrinking the distance between previously siloed departments, or between executives and the front lines sounds great — unless you’re a middle manager.

The biggest problem leaders face in the digital era is that power and influence are being decoupled from titles and organizational structure. So how can you be an effective leader? Here are the three things that organizations can do:

  1. Create a Culture of Sharing. Instead of hoarding information to be powerful, leaders have to become facilitators who accelerate the sharing of information across a networked organization.
  2. Encourage the Practice of “Followership”. The size and quality of your network, not your title, determines how much power and influence you have, and thus, how much you can get done. If employees could build their “followership” across the organization and even outside the organization, then even if their titles or jobs changed, they could still be highly effective. This creates tremendous security that allows these managers to make tough decisions that might otherwise jeopardize their livelihood.
  3. Ensure Networks are being used to Make Meaningful Decisions. People are smart — they won’t devote time to engaging unless they know it’s going to make a difference. The biggest mistake I’ve seen organizations do when trying to transition into the digital era is to use these new tools to create the equivalent of a digital water cooler — talking rather than getting work done. No wonder they don’t last! Get leaders to pay attention, make key decisions on these networks and people will come.

What each of these has in common is the need to give up control. In the talk, I shared the journey I’m going through as the parent of teenagers, as they push for greater autonomy and trust to make their own decisions. In our work, if we truly want to have an engaged workforce, then we’re going to have to lead differently, and establish a new kind of relationship and trust that’s created and deepened with these digital tools.

rob halkes's insight:

Working within the health care market I do witness daily the struglle of employers and employees, both within organizations of health care providers and of the industry to respons in a meaningful way to digital "disruption". Digital disruption has its potential to turn upside down every routine one uses tot get the job done, to approach customers/clients and to create value to business

How to respond to forces that do have this 'threat'? Charlene discusses the leadership role. It goes further than that, but this is crucial. When leadership cannot acommodate, how sould the rest of the organization cope? This is certainly true for much of the pharma and devices companies, where leaders tend to hold on to market approaches that were successful in the days gone by.

They should orientate themselves to new possibilities of customer approaches, not as an add on to what was done before, but to a new integrated system of engagement. Believe me, I could tell!

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House Bill Introduced to Promote Telehealth Through ACOs « Center for Telehealth and e-Health Law

House Bill Introduced to Promote Telehealth Through ACOs « Center for Telehealth and e-Health Law | eHealth - Social Business in Health | Scoop.it

Representatives Diane Black (R-TN) and Peter Welch (D-VT) introduced bipartisan legislation in the U.S. House of Representatives  to build upon the progress of Accountable Care Organizations (ACOs) in shifting the reimbursement of healthcare providers away from the traditional “fee for service” model to a focus on improving the health outcomes of patients.

The ACO Improvement Act (H.R. 5558) will improve the ACO model by providing additional incentives focused on health outcomes, increasing collaboration between patients and doctors, and providing ACOs with additional tools, according to a news release issued from their offices.

According to an article in Med City News, the legislation would allow ACOs to utilize remote patient monitoring tools and maintain and share technology that delivers images with more remote providers.   Many current restrictions that apply to originating care sites would be waived for telemedicine provided through ACOs, according to the bill.

“As a nurse of over forty years, I know firsthand the challenges facing health care professionals as they seek to provide their patients with the best care possible,” said Congressman Black. “It is unfortunate that the current fee for service payment system does little to encourage and incentivize providers and patients to use the most appropriate and effective health care options.  By incentivizing providers to focus on improving health care outcomes instead of increasing the quantity of services provided, this legislation will help improve care coordination, increase efficiency, and mostly importantly, ensure the patient receives the best care possible.”

“If we are going to reduce health care costs and increase quality, the incentives built into the provider payment system need to be changed.  In short, we need to reward value, not volume,” said Rep. Welch.  “Paying health care providers based on improvements in patient health rather than the number of procedures they perform is the way of the future.  Our legislation will advance these payment reforms and is based on the experience of ACOs in Vermont and around the country.”

Rep. Black is a member of the House Ways and Means Committee and Rep. Welch is a member of the House Energy and Commerce Committee.  These two committees are the primary House committees that consider healthcare-related legislation


rob halkes's insight:

Great move towards broader implementation of telehealth and ehealth. Let'shope the House will pass that..


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Top 12 Movies About The Future Of Medicine

Top 12 Movies About The Future Of Medicine | eHealth - Social Business in Health | Scoop.it

After I published my white paper, The Guide to the Future of Medicine, the feedback was amazing and I had several really interesting (sometimes mind-blowing) discussions. One of these resulted in the idea of collecting those movies that predict, picture and demonstrate the future of medicine. Feel free to add your choices! Enjoy!.:

  1. Elysium (2013)
  2. Gattaca (1197)
  3. Blade Runner (1982)
  4. Brazil (1985)
  5. Cloud Atlas (2012)
  6. A.I. Artificial Intelligence (2001)
  7. Eternal Sunshine of the Spotless Mind (2004)
  8. Forbidden Planet (1956)
  9. Inception (2010)
  10. Prometheus (2012)
  11. Robot & Franl (2012)
  12. The fifth Element (1997)
rob halkes's insight:

Looking for visuals about the future of health, here they are ;-)

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Stanford Medicine X | 2014 Schedule

Stanford Medicine X | 2014 Schedule | eHealth - Social Business in Health | Scoop.it

Schedule for Thursday September 4th to Sunday September 7th


rob halkes's insight:

Are you going? 


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Medical engagement | The King's Fund

Medical engagement | The King's Fund | eHealth - Social Business in Health | Scoop.it
by John Clark  and Vijaya Nath July 10th
Incl. Report download
What is good medical engagement? In those organisations where it exists, how has good medical engagement been created and sustained? These questions are at the heart of this report, which builds on earlier work from The King’s Fund on medical leadership.

This report is based on case studies of four NHS trusts with acknowledged high levels of medical engagement. It aims to help other organisations that are seeking to create cultures in which doctors want to engage more in the management, leadership and improvement of services. Based on interviews with a range of executives, senior and junior doctors, the report presents key features of each of the four trusts. Its final analytical section highlights common themes and includes a checklist to allow organisations and individuals to assess how far medical engagement is being sought and developed.


Key Findings

  • Medical engagement needs to be part of an overall organisational approach, from board to ward, and needs time to evolve. It is a journey that requires doctors to be motivated and to assume greater engagement with and responsibility for improving the quality of patient care in partnership with clinical and non-clinical colleagues and with input from patients.
  • The four trusts studied have all enjoyed long-term stable leadership, creating a firm foundation for cultural change. Senior leaders have shown total commitment to medical engagement and leadership.
  • All four trusts have clear strategies based on quality running throughout the organisations. The distinguishing feature is that these strategies form a way of working for the organisation – they are not isolated programmes.
  • Each trust has embraced a strong medical leadership structure with doctors in leadership roles at divisional and departmental levels, supported by managers. Despite making great progress, none claims to have a completely embedded medical engagement culture. 
  • Each trust puts considerable effort and resources into selecting senior staff including consultants, and none takes the stance that clinical expertise is sufficient.
  • Well-developed appraisal and revalidation processes exist in all four trusts. Talent management and leadership development are taken seriously, through education and training, and learning from other organisations.


Policy into practice implications

  • Medical engagement should be an integral part of the culture of all health care organisations and should be a priority for NHS boards and leaders.
  • It requires investment in development and training and also in governance arrangements to support the culture.
rob halkes's insight:

Must read to be inspired!

Report of case studies about developing "medical engagement." Although the term hasn't been defined precisely in the report it denotes its meaning at two points. It is stated that medical engagement is intended to lead to "...enhanced clinical and organisational outcomes, and to real benefits for patients and staff.."(p.39). Also, it is said in the conclusions, that a "..sustained and collective vision" .. will enable to create an "..organisational culture where all staff, particularly doctors, are motivated to share in delivering the highest quality of care." (p.41)

In summary, what is needed to bring about this fundamental change, is, in my words:

- an overall and integrated program, led by explicit starting points that may act as a guiding philosophy,

- a collective leadership that endorses and leads the change,

- explicit selection of doctors and staff, with the needed attitude and intentions, also a program of development, training and learning that initiates and continues inspiration to the right development, and

- enough time to make it work and allows for genuine change.

So, in retrospect, the report tells us that change and development is hard work like any implementation of innovation and development. The distinction here, in the report, is the concrete case findings and examples of how it was brought about. That makes it very worthwhile to read it.

However, some comment is in order: patients' benefits are only indicated but mostly absent from the report. It is all about the staff and doctors' activities directed to "medical engagement" - a strange term for a self evident responsibility to a medical institute. But if the terms helps to motivate, that is fine with me, but in my personal reflection, in these cases, it has little to do with patient engagement.

Add to the project a working method with patients, in a co-creative way and patient benefit will readily arise!
See here for further information about co-creation in care.

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Medical professionalism: an experimental look at physicians’ Facebook profiles

Medical professionalism: an experimental look at physicians’ Facebook profiles | eHealth - Social Business in Health | Scoop.it
Med Educ Online. 2014; 19: 10.3402/meo.v19.23149.
Published online Jun 18, 2014. doi:  10.3402/meo.v19.23149

Abstract
Background

Use of social networking services (SNS) is on the rise. While many users sign in for personal purposes, it is not uncommon for professionals to connect over SNSs with clients, students, and patients.

Methods

The present study used an experimental approach to examine how medical doctors’ SNS profiles impacted potential patients’ impressions of professionalism. Participants (N=250 students) were randomly assigned to view one of six Facebook profiles. Profiles were populated with 1) solely professional material, 2) personal material that was strictly healthy, or 3) personal material that included unhealthy behavior. Profiles portrayed a male or female physician resulting in a total of six experimental conditions. Medical professionalism was measured with the First Impressions of Medical Professionalism (FIMP) scale, specifically developed for this study.

Results

There was a large and statistically significant main effect for profile type, F(2, 250)=54.77, p<0.001, η2p=0.31 Post hoc tests indicated that personal profiles that contained healthy behavior were rated as most professional followed by profiles with strictly professional content. Personal unhealthy profiles were rated as least professional. Additionally, female profiles consistently received higher professionalism ratings across all three profile types [F(1, 250)=5.04, p=0.026, η2p=0.02].

Conclusion

Our results suggest that a physician's SNS profile affects a patient's perception of that physician's medical professionalism. A personal, healthy profile may augment a patient's perception of that physician's character virtues if the profile content upholds the decorum of the medical field.

Keywords: professionalism, Facebook, professionalism scale, social networking

rob halkes's insight:

Two statements come to mind when reading this report:

1) Doctors/Physicians: when you intend to be active on social media, be sure first to adopt a healthy life style yourself..;

2) Patients: it proves you right in the way you interpret your doctors' professionalism - let it guide you in your preferences

Very interesting and must read piece on how doctors present themselves on social media!

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The Doctor's Office of 2024: 4 Predictions for the Future

The Doctor's Office of 2024: 4 Predictions for the Future | eHealth - Social Business in Health | Scoop.it

What’s next on the horizon for doctors and patients? Medical experts predict the biggest changes likely to occur in primary care over the next decade.
[...]

- Doctors will rely on Wearbale tech for Real-time Insights..

[...]

- Waiting Rooms will be phased out ..

[...]

- Up to 35 Percent of Visits Will Happen Virtually—Or Not at All

[...]

- Patients Will Increasingly Control Their Medical Charts

[...]

The key for success, Burgert says, is for physicians to push through the learning curve and anxiety associated with many new technologies and be open to the changes that lie ahead. She explains: “Physicians who maintain their willingness to listen and learn, despite the common anxiety of not knowing everything in uncharted territory, will be better positioned in the future.”..

rob halkes's insight:

In the spirit of the trends, this oversight confirms them. See here and more specifically about what should be the trends here

Interesting ans inspiring however are the data mentioned in the referred studies, from Wolters Kluwer and from Software Advice.

  And surely: health care professionals need to "push through the learning curve.." - Great statement ;-)

See also my next scoop here and here - Thanks!

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Marcia Marinho's curator insight, July 11, 2014 11:25 AM

Como será o consultório médico em 2024?

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Co-Creation in Health Care

Co-Creation in Health Care | eHealth - Social Business in Health | Scoop.it

Experience co-creation in health care is an effective method to innovate value to patients in a personalized way, in collaboration with all relevant stakeholders.
It is intended to benefit patients in coping with their health conditions and to arrive at a satisfying state of quality of life, given their specific personal health conditions.


Working together is conditional to health care. But "Co-Creation" and "Experience Co-Creation" are not like “working together” in a traditional way. The concept of the method of co-creation is rather based on acknowledging the difficulties in health care to work together. “Experience co-creation in care” enables personalization of health care tailored to the patient conditions and preferences. It drives the effectiveness of the total process: efficacy of medical interventions, therapy, rehabilitation and lifestyle.

rob halkes's insight:

I just wanted to create a quick overview of what Co-creation in Care looks like.

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5 recommendations for telehealth success

5 recommendations for telehealth success | eHealth - Social Business in Health | Scoop.it

Recognizing that licensing and regulation has not kept pace with the growth of telemedicine applications, a new report offers five recommendations for the successful adoption of telehealth.

The recommendations, made by the Information Technology and Innovation Foundation, a District of Columbia-based think tank, include:

  • Adoption of a standard definition for telehealth: While a recently published study found there to be seven different federal definitions of telehealth, the report's authors stress that H.R. 3750, the Telehealth Modernization Act of 2013, can remedy that "by defining telehealth to include healthcare delivered by real-time video, secure chat, secure email or telephone. ...
  • Establishment of a single, national license for telehealth providers  ...
  • Creation of technology- and location-neutral insurance policies ...
  • Collaboration by state prescription drug monitoring programs ...
  • Funding of research to boost quality and lower costs of telehealth programs


A framework for evaluating telehealth programs must consider socioeconomic aspects--not just the technological--argue researchers in an article published online recently in Telemedicine and e-Health. Costs, benefits, barriers and outcomes, including clinical outcomes, are among the integral socioeconomic factors at play in telehealth implementations, they say.

Meanwhile, the American Telemedicine Association has suggested some changes to the Federation of State Medical Board's (FSMB) proposed regulation of telemedicine. Among the suggestions: Don't make remote consults more cumbersome than in-person treatment and clear the way for docs to practice across state lines.

To read more:
- read the report(.pdf)

rob halkes's insight:

Great blog and great report: concluding about the necessary steps to enable the development and implementation if ehealth over multistakeholders, health care providers and industry.

Not all have been copied here. so do read the report and the blog..!

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