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9 Technological Developments
Pages 75-88

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From page 75...
... Who will be the custodian of data? In virtually all states, the medical records person or the health information management person is the custodian of data, but that is likely going to change to be the purview of the patient.
From page 76...
... For those who are unable to be custodians of their own data, solutions such as health information exchanges will be needed, and somebody else will have to act as that primary coordinator of care. The Office of the National Coordinator for Health IT (ONC)
From page 77...
... As a result of previous experiences with telehealth in the state, Vidant Health developed a remote monitoring program for patients with cardiovascular disease and pulmonary disease for all 10 of its hospitals. Vidant Health's goal for the program was to identify inpatients to be referred to a telehealth program that would monitor their blood pressure, pulse, weight, and oxygen saturation in their homes on a daily basis.
From page 78...
... The Vidant Health program accumulates data on demographics and objective clinical data (e.g., height, weight, blood pressure, pulse, oxygen saturation, low-density lipoprotein, hemoglobin HbA1C)
From page 79...
... As seen in Figures 9-1 and 9-2, hospitalizations and bed days were both dramatically reduced after implementation of the program, both during the monitoring, and in the 3 months after monitoring had stopped. Among other benefits, this frees up hospital beds for surgical patients and other more critical cases.
From page 80...
... . SOCIAL NETWORKING Dave Clifford PatientsLikeMe PatientsLikeMe is an online platform for social networking for people with chronic illness.
From page 81...
... PatientsLikeMe allows patients to share their personal health information with others (e.g., peer groups, clinicians) in an isolated system.
From page 82...
... West Wireless Health Institute The three main macroeconomic drivers of health care today are rising costs, the epidemiological transition, and shortages of health care professionals. First, approximately 18 percent of the gross domestic product is spent on health care, and this percentage is growing.
From page 83...
... On the data input side, sensors are becoming cheaper and more ubiquitous. Beyond capturing basic vital statistics (e.g., blood pressure, pulse, weight)
From page 84...
... There is a real generation gap now in analytics in health care versus other industries. The challenge in health care is how to capture multisource raw data (e.g., multiple sensors, medication compliance, the electronic medical record, social factors)
From page 85...
... Instead, he argued, the panelists had highlighted that technology can only solve the problems of health care insofar as it is integrated intelligently into work flows, life flows, and clinical flows. Jethwani agreed, adding that this is why mHealth developers need to come together with the larger team in care plan design.
From page 86...
... Muntz added that this needs to happen across boundaries, such as in health information exchanges, to promote clinical research. One participant asked whether smaller, local programs can serve as pilots that lead to more research.
From page 87...
... Kaushal stated that in most cases, technological innovations will outpace regulatory or policy innovation. He agreed that many of the connected technologies discussed on the panel have less of a value proposition in a fee-for-service world, and so payment models are key.
From page 88...
... However, Kaushal stated that there are other areas where there is no market failure; he asserted that connectivity will become ubiquitous as the cost of implementing technology and building and managing networks decreases.


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