mHealth and the future of Health Systems @givemhealth

I am at the Forum for Global Health Transformation at Harvard University today.

I just listened to John Mattison, CMIO of Kaiser Permanente talk about the evolution of global health. John’s talk touched on Block Chain, Personalized medicine and Community Care.

We are seeing the elements of the future health world emerging in trials. We need to see them implemented at scale alongside a culture change that embraces the patient at the center of care as an equal peer.

Andy Ellner, MD – Co-Director, Harvard Medical School Center for Primary Care

mHealth and the Future of Health Systems

“The essence of Global Health equity is the idea that something so precious as health might be viewed as a right.”

  • Paul Farmer

Health Systems don’t serve patients dealing with social determinants of health. ie. the realities of daily living.

Global Health in 2016

Millenium Goals:
1. Reduce child mortality
2. Improve maternal health
3. Combat HIV/AIDS and other diseases

Sustainable Development Goals:
1. Ensure Healthy lives ad promote well-being for all
2. Targets: neonatal mortality, neglected tropical diseases, health workforce development, universal healthcare, deaths from chemical exposure.

Three dimensions of Universal health coverage:
1. Population
2. Services
3. Costs

Around the world doctors have all the power. This is a common problem in system design and culture.

Definition and Value of Primary Health

mHealth and the Future of Health Systems

“Primary Care is a platform.”

Re-orient:
1. Person
2. Place
3. Time

5,000 waking hours. The vast majority of those hours occur outside the traditional health care system.

If you include social service spending alongside direct health spending. US spends more on healthcare than social support.

Hot spotting:

1% of US Population incurs 22% of health costs.
5% account for 50%

The bottom 50% incur 3% of health spending.

Creating an environment where the patient is a peer in the care team is about enabling their voice to be heard and them having the information to be able to make informed choices.

Health2con Launch! won by SirenCare

LAUNCH!

Moderated by Matthew HoltHealth 2.0 & Indu SubaiyaHealth 2.0

Ten brand new companies are selected from dozens of applicants to unveil their products for the very first time and the audience votes on the winner! This exciting and fast-paced session has crowned previous winners including Castlight Health, Basis, OM Signal. There will also be a special appearance from last year’s winner, MedWand.

Demos by

gripAble
Paul Rinne
Regeneration Health Inc.
David Joseph
MDwithME
Gene Ukrainsky
Siren Care
Ran Ma
Docent Health
Charlie Dunning
Cricket Health
Arvind Rajan
DayTwo
Lihi Segal
Albeado
Armand Prieditis
Valeet Healthcare
Sima Pendharkar
Qidza
Jin Lee

Real time notes from the tenth annual Health2.0 fall conference.

1. GripAble

2. Valeet Healthcare

3. Day Two @daytwohealth

Evaluating your microbiome

Trust your gut.

4. Docent Health

Docent – Non-clinical Support

Listening to patients. High touch and better experience

5.Albeado PRISM

Big Data that can search for fraud.
Looking at Medicare Part D payments.

Builds social network of doctors with shared patients.

6. Qidza: BabyNoggin

Help parents screen their kids.

1 in 6 children have developmental issues.

7. MD w/ ME

Medical Hardware and Software for a full physical exam in a box.

8. Siren Care

Diabetic Sensor socks for monitoring temperature.
Monthly subscriptin plan.
$20/month First month free with code Health2con.

9. Cricket Health @crickethealth

100K people per year are diagnosed with Kidney Failure.
Platform: HOPE.

10. Regeneration Health, inc. @regenerationhealth

Genetic analysis

Medwand – Last year’s winner

MedWand is now wireless.

Hardware first
Software second

$250 going through FDA approval.

And the 2016 Winner is……

Siren Care

[category News, Health, Health2]
[tag health, cloud, ONC, opendata, hdpalooza, blue button, CM4H16]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://blog.ekivemark.com
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence and CMS BlueButton Innovator working on an assignment to update BlueButton for Medicare Beneficiaries. http://go.cms.gov/bluebutton

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.

#Health2con @KBDesalvo Keynote (Acting Asst Secretary @HHSgov #PH3

Keynote: Karen DeSalvo

Karen Desalvo, the Acting Assistant Secretary for Health in the US Department of Health and Human Services, will speak on how the HHS is helping to build a better health care system by driving innovation, and how players across the health care system can come together to engage and empower consumers, and put patients at the center of their care.

Real time notes from the tenth annual Health2.0 fall conference.

Providing Affordable Quality Access to Care

Bring health to everyone.

Giving people the kind of coverage that many of us have taken for granted.
No Pre-Existing Conditions

Only about 9% of US Citizens now are lacking coverage.

Bending the cost curve. $550B saved against anticipated costs.

New Payment models are driving change in integrated delivery and better care.

Delivery System Reform:
1. Change provider payments (2018 – all payments in Value based payments)
0% in 2011, 30% in 2016

  1. Changing Care Delivery – putting patient at the center.

  2. Information Distribution. Data and tools.

We have to link data to payment model reform.

We are not where we want to be as a learning health system.

Making information more accessible.
Make it more understandable.

As we evolve the system we must pay more for outcomes.
Health and Public health must work together.

Public Health: What we do together as a society to assure the conditions in which everyone can be healthy.

Your zip code is a bigger predictor of health outcomes than anything else.
Build a stronger community Fabric.

Public Health 3.0: #PH3

http://www.healthypeople2020.gov/ph3

Announcing the Winners of the “A Bill You Can Understand” Design & Innovation Challenge

More often than not, medical bills are a source of confusion for patients and families. Providers, payers, and consumers all benefit if we fix the current system.

The “A Bill You Can Understand” Design & Innovation Challenge presented an opportunity for developers, designers and innovators to catalyze design-based innovations to improve the patient financial experience.

Don’t miss this announcement, where we will showcase the solutions of the 2 challenge winners!

Pilot Partners:
– Cambia
– Integris
– Providence
– Geisinger
– MetroHealth
– University of Utah

Represent 10M patient visits per year.

AARP

Seniors have a disproportionate experience with confusing medical bills that keep on coming.

84 applicant submissions

Prize 1: Easiest bill to understand
Understandability, Volume and Trust:

Winner: RadNet

Honorable mentions:
– A Better Health System
– Change Healthcare
– Renown Health
– Up to 11

Prize 2: Transformational Approach

Address:
– Meet Consumer expectations
– What a future forward innovation would look like.

Winner: SEQUENCE

Honorable Mentions:
– Business Innovation Factory
– EveryBill
– FAIR Health
– GravityTank
– Health Payment Systems
– iVinci

The consumer must be at the center.

[category News, Health, Health2]
[tag health, cloud, ONC, opendata, hdpalooza, blue button, CM4H16]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://blog.ekivemark.com
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence and CMS BlueButton Innovator working on an assignment to update BlueButton for Medicare Beneficiaries. http://go.cms.gov/bluebutton

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.

#Health2con Government Town Hall w/Vindell Washington, Laverne Council, Karen Onyeije

Government Town Hall

Moderated by Matthew HoltHealth 2.0

Here’s your opportunity to have face time with policy leaders from various areas of the government, including the Department of Veterans Affairs, the ONC, and the FCC. Come share your questions and learn how you can participate in future discussions.

Speakers

Vindell Washington
US Department of Health and Human Services
Laverne Council
Department of Veteran Affairs, Office of Information and Technology
Karen Onyeije
FCC

Real time notes from the tenth annual Health2.0 fall conference.

Laverne Council – CIO at VA @DeptVetAffairs

14 months performed largest transformation in history.

Solution process reduced from 88 artifacts to 6.

Moved to Agile.

Karen Onyeije – Assoc General Counsel. Connect2HealthFCC Task Force at FCC.

Everything broadband touches it transforms.

Need to get to hearts and minds of consumers. Why it matters for their health.

What is in it for consumers… Why subscribe to connectivity.

Created a mapping platform that looks at the connectivity between tech/comms and health.

Texas – 249 of 250 counties identified as Mental Health Imperative areas.

Vindell Washington – National Coordinator for Health IT. @VindellW

Concentrate on Information Sharing.

Back in 2000 discussion was about information sharing and Standards.

Adoption is driving the change in focus.

No we can move to putting information at people’s fingertips

Move the needle through:
1. Culture Change – it is the Law to allow access.
2. Business Use Case – Change it
3. Technology –

Am I the right person
Where is the data
What is the language/ontology

  • Informed consumers are key.

[category News, Health, Health2]
[tag health, cloud, ONC, opendata, hdpalooza, blue button, CM4H16]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://blog.ekivemark.com
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence and CMS BlueButton Innovator working on an assignment to update BlueButton for Medicare Beneficiaries. http://go.cms.gov/bluebutton

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.

#Health2con @BlueTopaz interviews CIO of VA Laverne Council

Fireside Chat with Laverne Council

Laverne Council is the Chief Information Officer and Assistant Secretary for Information and Technology for the Department of Veterans Affairs. She will speak about the digital future of the VA and how it will improve patient outcomes and overall efficiency.

Real time notes from the tenth annual Health2.0 fall conference.

Veterans Affairs

The President wanted to bring in people from Private Industry to modernize and improve the VA.

15 hearings on the Hill

Challenges:
– Enterprise Systems
– Integration with partners
– Innovation

Created a Strategy

A lot of assessments but very little implementations.

Apply Principles on Day 2.

Took 60 Days to develop a strategy.

  1. Stabilize and Streamline processes
  2. Cease to be a point of failure
  3. Drive innovation in to practice.

Train team on how to get things done.
8000 employees and 8,000 contractors.

There was no enterprise data management capability.

becoming more patient centric.

The work is hard but you can still have fun.

How does technology improve human touch in a large organization?

We don’t use data as well as we can.

There is data that we generate that is not considered.

“We want to be on FHIR”

Over 1,000 custom systems. Why?

[category News, Health, Health2]
[tag health, cloud, ONC, opendata, hdpalooza, blue button, CM4H16]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://blog.ekivemark.com
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence and CMS BlueButton Innovator working on an assignment to update BlueButton for Medicare Beneficiaries. http://go.cms.gov/bluebutton

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.

#Health2con @boltyboy keynote and @Jonathan_Bush @epatientDave @DworkingDarren @GrandRoundsInc

Keynote: Matthew Holt

Matthew will introduce a new way to think about how health care delivery is changing because of technology. Somewhere in this Matthew and Jonathan Bush, CEO, athenahealth, will resume their long running banter!

Real time notes from the tenth annual Health2.0 fall conference.

Patients will change Healthcare

Being in Taxi cabs or Bookstores is not a great business these days.

Wake up Healthcare.

Three types of Patient

  1. Healthy
  2. Acutely Ill
  3. Chronically Ill

Healthcare is still one size fits all.
But we have the ability to target the individual.

Healthy – Asynchronous tools, Wellness tools, Telehealth

Ill – OMada Health and other tools

Chroically Ill
– Coaching
– Self Management
– Monitoring

Becoming Acutely Ill
– Diagnostics
– Data

Acutely Ill:
– Data Records
– System Tools
– Professional Tools

Diagnosis and Support:
work across all groups

Follow up tools

One size no longer fits all.

Why hasn’t Real Estate and Car buying changed.

Back with Jonathan Bush

“Health 2.0 needs to rebrand because the Government has got just about everyone on a shit EMR.”

“God bless Andy Slavitt”

“Remember there was a time when Allscripts was cool”

The world is done with digital medicine = they want networked medicine

EMRs will always suck unless they give you more information that you give it.

Future of Tech Enabled Services

@epatientDave Excellence and Convenience is important.

Experiencing the world of information Coordination across multiple providers.

“I want to deal with my Health Insurance company as much as my Car insurer.”

Owen Tripp – Grand Rounds, Inc.

67% of people were getting material mistakes in their treatment.
Could they scale a solution that gives everyone access to great diagnosis and expert opinion.

The Patient – Provider match is critically important
Same Day Second Opinion.

Patients can connect with Grand Rounds directly while undergoing treatment with another provider.

Cedars- Sinai Health System – Darren Dworkin

Leading hospital system in Los Angeles.

1,,000 bed hospital + 150 bed hospital added.
Added Ambulatory Services
Building Primary Care capacity.

“Building an Ecosystem”
Looking at how to partner.

“Technology is n’t part of our strategy.” Other larger goals. Technology is just an enabler.

Focusing on building platforms.
eg. Documentation system was not for digitization but a base for Clinical Decision Support.

The patient will become an extension of the care team. More diagnostics will take place in the home.

Jonathan Bush

Hospital Systems have maxed out. 6% of people are sick. 92% are not.

The opportunity for Health Systems is to go digital and then scale the services that ca be delivered digitally.
Emergency room may not scale.

Supporting 9,800 medical groups.

It is too exhausting to do traditional integration.

“I think the internet will be a big thing”

@SimpleTherapy

  • Helena Plater-Zyberk, CEO

http://www.simpletherapy.com

Average Back Pain incident costs $2400.

video demonstrations and use household items to assist. eg. towels.

Delivering at 8% of cost of traditional services

Bright.md @bright_health

  • Julia Millard

Smart Exam System

Ask more questions dynamically (25-75) than a provider has capacity to ask

integrates payment or billing to insurance.

HealthLoop – Todd Johnson CEO @Healthloop

Today- at discharge “Hope is the strategy”

Healthloop engages patients before surgery to help them prepare and follow sup afterwards.

Technology should get rid of the drudgery and support the clinicians.

#LumiraDx
Sumit Nagpal CEO

portable blood test device.

Using a tiny drop of blood instead of drawing vials of blood.

Results flow in to EMR and PHR.

A connected disposable patch.
eg. to detect aphib.

HealthStrip.quantum.lumiradx.com

https://www.lumiradx.com/home

deploying in US and UK/

integrate with Social Media and third party wearables.

[category News, Health, Health2]
[tag health, cloud, ONC, opendata, hdpalooza, blue button, CM4H16]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://blog.ekivemark.com
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence and CMS BlueButton Innovator working on an assignment to update BlueButton for Medicare Beneficiaries. http://go.cms.gov/bluebutton

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.

#Health2con Industry Leader Awards

Real time notes from the tenth annual Health2.0 fall conference.

Industry Leaders

  • Roberto Ascione @robertoascione
  • Helen Figge @HelenLFigge1
  • Jonathan Bush @Jonathan_Bush
  • Susannah Fox @Susannah_Fox (Unable to attend)

10 Year Global Retrospective Awards: Industry Leaders

Over the past ten years, we have been impressed by the drive and enthusiasm brought to our events by the many innovators in the health tech space. This award honors those industry leaders whose dedication and creativity has spurred positive changes in their field.

Helen Figge – LumiraDX

You can’t get anywhere without clinicians.
So many people have drunk the kool-aid but it is still no better.

“Government intervention has killed us.”

Jonathan Bush “I think you make a very good point”

Roberto Ascione – Digital Physician

Spreading the Health 2.0 family globally has been incredibly important.

Jonathan Bush – Athena Health

Athena Health grew out of a health pregnancy clinic where they had to deal with claims and people wanted help dealing with the painful world of handling claims.

“We are starting to see real traction”

Roberto Ascione wins the award as Industry Leader.

[category News, Health, Health2]
[tag health, cloud, ONC, opendata, hdpalooza, blue button, CM4H16]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://blog.ekivemark.com
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence and CMS BlueButton Innovator working on an assignment to update BlueButton for Medicare Beneficiaries. http://go.cms.gov/bluebutton

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.

#Health2con

# Keynote: Vindell Washington

Dr. Vindell Washington is the National Coordinator for Health Information Technology (ONC). He’ll give an overview of the progress, and the future vision of, Health Information Technology at the ONC. Including how HIT plays a role in many facets of health from virus outbreaks to cancer moonshots.

Real time notes from the tenth annual Health2.0 fall conference.

http://www.hhs.gov/healthcare/delivery-system-reform

“Once you have had access to technology that improves outcomes you never want to go back.”

70% of US Hospitals allow View Download and Transmit for Patients.
A 7 fold increase since 2013.

All states have achieved 40% VDT in 2015. In 2013 NO States had achieved the 40% mark.

Requiring All certified EMRs in 2018 to publish their APIs.

Drivers of Success at ONC:

  1. Common Standards
  2. Culture Change around Access to Information
  3. Business Case for Interoperability

Clarifying Individuals Legal Rights to access their data and send it where they want.

Using payment programs to reward for interoperability.

High Impact Pilots

Health Collaborative
Lantana Consulting Group
RxREVU, Inc.
University of Utah

Standards Exploration Awards:

  • Arkansas Office of Health IT
  • Cincinnati Childrens Hospital Medical Center
  • Sysbiochem

Blockchain Challenge

Interoperability for National Priorities

  1. Delivery System Reform
  2. Precision Medicine initiative (PMI)
  3. Cancer Moonshot
  4. Opioid Epidemic

[category News, Health, Health2]
[tag health, cloud, ONC, opendata, hdpalooza, blue button, CM4H16]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://blog.ekivemark.com
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence and CMS BlueButton Innovator working on an assignment to update BlueButton for Medicare Beneficiaries. http://go.cms.gov/bluebutton

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.

#Health2con @paintmd , @edyson Forging new partnerships: Communities and Emerging Markets

Real time notes from the tenth annual Health2.0 fall conference.

Interviewer: Michael Painter @paintmd – Robert Woods Johnson Foundation

Esther Dyson @edyson – Way to Wellville

Way to Wellville, helping everyone to learn from experience in health and wellness and economic and environment development at the community level.

“We know what to do”

We need to give people the tools to manipulate their own lives and health.

Like a Personal Trainer. You have to do the work.
The community has to take ownership of the commitments and deliverables.

Getting buy-in is important. This is the role of community leaders. What works in their own community.

“We don’t want todo pilots. We want to roll out something that works”

Applicants have to have a multi-party involvement.

Share responsibilities instead of doing redundant work.

Health inequities

Huge issue.
Constantly learning.

Spartanburg, SC

working with Healthify

Unhealthiest town in the unhealthiest state in the USA.

Most of the issues that affect the community hapen outside the healthcare system

Healthify helps to automate many of the tasks for Case Managers.

Each person may need up to 10 referrals to different services.

Healthify helps to search for services and automate the applications.

  • Looking at referrals
  • Want to look at health and financial outcomes.

Spartanburg has a sizeable population that falls between Medicaid and Federal Services.

Spartanburg spends $300m on charitable and uncompensated care. as a result of ED visits.

Healthify can reduce referrals for case managers from 15 minutes to under 2 minutes.

Alameda County

Welkin Health

Serving East Bay underserved communities

  • Community Health Center Netowkr – Rajib Ghosh Chief Data and Transformation Officer @ghosh_r
  • Chase Hensel, CEO and Co-Founder Welkin Health. @chasehensel

Plan to measure:
– patient engagement with platform
– impact on case manager work load.

Aim to demonstrate impact on reduction in ED and in patient costs.
Welkin brings together communication and workflow.

Emerging Markets: Monique Mrazek – Sr investment Officer, IFC Venture Capital, World Bank Group

  • Amit Patel – VIOS Medical
  • Rahul Reddy, SVP Strategic Relationships – Apollo Hospitals
  • Daniel Grossman, Sr Director, Global Health, Medtronic
  • Pekka Sivonen, Director Digitization Tekes (Finland)

Apollo is largest integrated health system in India.
Treat 45M people per day.

VIOS – FDA Cleared IOT Solution for Patient Remote Monitor.

Works with Bluetooth sensors.

Realtime , pulse, BP and Heart rate.
Runs on a Android tablet.

Vios provides a cloud based monitor to review multiple monitors..

Finland wants to operate in Digital Health and will be mobile.
Finland has a long DNA in mobile.

[category News, Health, Health2]
[tag health, cloud, ONC, opendata, hdpalooza, blue button, CM4H16]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://blog.ekivemark.com
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence and CMS BlueButton Innovator working on an assignment to update BlueButton for Medicare Beneficiaries. http://go.cms.gov/bluebutton

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.

#Health2con Ed Hernandez @dredhernandez , CA State Senator – Chair Committee on Health

Real time notes from the tenth annual Health2.0 fall conference.

CA has raised smoking age to 21.

Senator Hernandez pushed through the smoking age legislation.

Affordable Care

This is bigger than any other health legislation.

ACA has triggered lots of change:

  • Consolidation of Health Plans
  • Large Medical Groups
  • Hospital System mergers

Big challenges:
– 1/3 of CA population on MediCA

We wrote a law that provides an insurance card for patients but we didn’t address the network of providers needed.
– Patient need growing
– Doctors retiring

Demand in:
– Inner Cities
– Rural communities

The population with highest need but least access.

How do we control health care costs:

Proprietary platforms that don’t speak to each other.
Health records should belong to the patient.

We need to look at how we engage consumers in their own health.

The mobile device is available in even some of the most under resourced areas.

We have to learn to take advantage of the smartphone.

[category News, Health, Health2]
[tag health, cloud, ONC, opendata, hdpalooza, blue button, CM4H16]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://blog.ekivemark.com
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence and CMS BlueButton Innovator working on an assignment to update BlueButton for Medicare Beneficiaries. http://go.cms.gov/bluebutton

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.