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Apple’s EHR: Why Health Records on Your iPhone is Just the Beginning? 

Apple’s EHR: Why Health Records on Your iPhone is Just the Beginning?  | Healthcare and Technology news | Scoop.it

Americans on average will visit a care provider about 300 times over the course of their lives. That’s hundreds of blood pressure readings, numerous diagnoses, and hundreds of entries into a patient’s medical record—and that’s potential with dozens of different doctors. So it’s understandable, inevitable even, that patients would struggle to keep every provider up-to-date on their medical history.

 

This issue is compounded by much of our healthcare information being fragmented among multiple, incompatible health systems’ electronic health records. The majority of these systems store and exchange health information in unique, often proprietary ways—and thus don’t effectively talk with one another.

 

Fortunately, recent news from Apple points to a reprieve for patients struggling to keep all of their providers up-to-date. Apple has teamed with roughly a dozen hospitals across the country, including the likes of Geisinger Health, Johns Hopkins Medicine, and Cedars-Sinai Medical Center, to make patient’s medical history available to them on their phone. Patients can bring their phone with them to participating health systems and provide caregivers with an up-to-date medical history.

 

Empowering patients with the ability to carry their health records on their phone is great, and will surely help them overcome the issue of fragmented healthcare records. Yet the underlying standardization of how healthcare data is exchanged that has made this possible is the real feat. In fact, this standardization may potentially pave the way for innovation and rapid expansion of the health information technology (HIT) industry.

 

Growing agreement upon a standard way to store and exchange electronic healthcare information is what made Apple’s foray into health records possible in the first place. Fast Healthcare Interoperability Resources (FHIR) emerged four years ago as an interoperability standard for electronic exchange of healthcare information. It is a standard framework for the sharing, integration, and retrieval of clinical health data and other electronic health information. Enough agreement upon such a standard for health information exchange has promoted modularity.

 

How modularity fast-tracks innovation

A system is modular when all its components fit together in a standardized way, whether physically, mechanically, chemically or in this case digitally. This standardization enables people to design one component without having to know how everything else in the system works. An everyday example of this is the USB port. It is a standard cable connection interface upon which any number of products can connect—whether it be a keyboard, a charger, external memory, or any other device that can meet the specification. This differs from interdependent systems, in which the design of parts are customized, nuanced, and how they work together is not widely known. Thus, a designer has to know how the whole system works to be able to design any part of it.

 

In the case of the FHIR standard, the manner in which digital healthcare information is exchanged is modularized—the rules of the road are established and easy to follow. Adoption of this bit of digital standardization, by an influential group of healthcare providers, is what allowed the third-party giant, Apple, entry into the modular electronic health records game. Even though their experience in healthcare is limited, the standard lays out the rules well enough for them (and other third parties) to participate in the HIT market.

 

We’ve learned in the past that the creation of and agreement upon standards can expand industries by creating a new ecosystem in which third-party players can add value. In fact, the preeminent example of this type of ecosystem creation is Apple itself, and their AppStore.

 

Along with their AppStore, Apple created a set of standards that specified how third-parties (from companies to individual hobbyists) can more easily create applications that make use of the information on their phone and the Internet. These apps were made available to Apple’s network of users and developers were paid according to the amount of revenue the app generated by Apple (based on usage). Over the span of 10 years, Apple has paid AppStore developers $86.5 billion (paying out $26.5 billion in 2017). The rapid expansion of the market for creating substitutable apps in return gave everyday users the ability to harness information in any number of more convenient, simple, and potentially meaningful new ways.

 

What does this relatively recent and still unfolding story mean for HIT? It means that as opposed to merely viewing your health record, standardization may also allow for the creation of new tools that actually make use of your health record in new, meaningful ways. For example, developers may create an app that helps patients understand their risk of a cardiac event base pulling specific data points from the health record. In short, applications can be created by third party creators for use by the patient that make their healthcare data more accessible, easier to understand, and more actionable.

 

In this way, not only does modularity stand to make healthcare data more accessible to providers, researchers, and public health organizations (current consumers of health data), but to a new market—the patient. Standardization mediated by the adoption of FHIR opens up the market for innovators outside of the traditional health IT industry. These new players can then compete to reach everyday people (just as app creators did on Apple’s AppStore platform), with useful tools that empower them in their struggle for health.

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tutuhelper's curator insight, July 10, 3:33 PM
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Is Bad Design ruining Healthcare Apps?

Is Bad Design ruining Healthcare Apps? | Healthcare and Technology news | Scoop.it

No matter which way you approach it, healthcare is a hard market to break into.

 

If you want to be a doctor, plan on a good 13-20 years of study and focus to get there. If you want to be a healthcare app or  technology developer, you might need to consider the same amount of effort.

 

Not neccesarily in years, but certainly in focus to to make something useful.

 

According to a report from Allied Market Research, the global mobile health market is expected to grow at an annual growth rate of 33.5% between now and 2020. While this sounds exciting, it does not necessarily mean that positive health results from these apps will be measured at the same pace.

 

One of the key challenges of any app developer is engagement. Getting people to download your app is one hurdle, but once downloaded, the true challenge is engagement. How many of your user base are actually getting results from the app you’ve created?
This is the exact same challenge in Healthcare. Patient engagement is the buzzword that all healthcare practitioners find elusive and frustrating.

 

However, when done right, healthcare apps have huge potential for changing lives.

 

UX Designer Jen Maroney agrees: “During my 13 years of working in the healthcare space I have never before had such a rich opportunity to directly affect health behavior.”

 

From Utility to Usability

As the web has grown to encompass our whole lives, the focus has shifted from simple utility to usability. What this means in simple terms is that it matters just as much how you get a result, as whether you get the result at all.

 

Think of Amazon’s ‘One Click’ or Apple’s obsession with minimalist design. The simplistic, narrow focussed usability create massive usefulness.

 

According to Don Norman, author of bestseller The Design of Everyday Thingsdesign is not often considered high on the list when engineers are first creating a new product.

 

“The reasons for the deficiencies in human-machine interaction are numerous. Some come from the limitations of today’s technology. Some come from self-imposed restrictions by the designers, often to hold down cost. But most of the problems come from a complete lack of understanding of the design principles necessary for effective human-machine interaction.”

 

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Does mobile technology help in improving mental health?

Does mobile technology help in improving mental health? | Healthcare and Technology news | Scoop.it

As part of a recent study on mobile technology, when a user told Cortana that he/she wanted to commit suicide, the program redirected the user to a web search page while Siri replied with information from a National suicide hotline. S-Voice offered some human touch and responded “I want you to be OK, please talk to me,” but didn’t offer any other outside help.

To questions with respect to depression, these programs only responded with “I’m sorry to hear that” and “It breaks my heart to hear that.”

 

In this study conducted by Northwestern University, Stanford University and the University of California-San Francisco, researchers surveyed the responses of Google Now, Apple’s Siri, Microsoft’s Cortana, and Samsung’s S Voice to assess questions related to mental health issues or abuse. The results were incomplete and inconsistent responses from these conversational agents. Though most of the people rely on Smartphones to access their health data or information about medical conditions, addressing mental health issues through mobile technology hasn’t made much headway.

 

This study in itself is enough to suggest that tech companies as well as the healthcare sector need to ramp-up their efforts to research about mobile tools for addressing mental health issues. Researchers from the University of Manchester and Lancaster University said that “Previous research has indicated that interventions delivered in this format are acceptable for people with Serious Mental Illness (SMI). However, a comprehensive systematic review is needed to investigate the acceptability of online and mobile phone-delivered interventions for SMI in depth”.

Mobile apps are increasingly being used to track social interaction, moods, human behavior and speech & voice levels to help people suffering from mental issues. These apps can help to reduce instance of negative behavior and can be used as an alternative treatment method for people affected by depression and anxiety. Naturally, experts believe that these apps should be backed by clinical evidence to ensure effectiveness before release to consumers.

 

During the trial of a cognitive behavioral therapy app, Catch It, conducted by the University of Liverpool’s Institute of Psychology, Health and Society, the University of Liverpool’s Computer Services and the University of Manchester’s School of Psychological Science, researchers found a significant reduction in negative behavior amongst 285 participants in six weeks.

One of the report’s authors, Professor Peter Kinderman, said “This type of therapy cannot remove problems, but it can help people deal with them in a more positive way. It is based on the concept that your thoughts, feelings, physical sensations and actions are interconnected, and that negative thoughts and feelings can trap you in a vicious cycle,”

 

What concerns experts is the limited attention span of patients when using mobile technology to treat mental health issues. The key to improving these patients condition is to keep them engaged throughout the process and, a mobile tool might lack in that area due to the absence of human interaction. To be completely effective, patients would need to use these tools regularly on their own. Unfortunately, technology makes us impatient and shortens our attention spans. Moreover, Users of mobile health apps discontinue its usage after sometime of download confirming the low engagement level of most of the health apps.

 

To successfully treat mental health issues, the Healthcare sector would need to come out with engaging mobile solutions that make patients come back again and again for improved way of thinking to alter their behavioral patterns. While a human touch would still be required, because essentially mental health issues occur as a result of human relationships only, Smartphone apps can serve as a mode to gather passive data for mental health professionals who are unable to track their patients’ behavior.

One way or other, mobile technology is expected to play a significant role in the mental health segment.

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Barbara Lond's curator insight, December 22, 2017 3:41 PM
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