NYeC’s 2018 Gala & Awards on 27 November (US)

The influential New York eHealth Collaborative (NYeC) is honoring four highly influential leaders in improving healthcare through the use of technology on Tuesday 27 November in NYC: Michael Dowling, CEO of Northwell Health; Linda A. Lambert, CAE, Executive Director of the New York State Chapter of the American College of Physicians; and CEO/founders Ido and Roy Schoenberg, MD of American Well.

The gala will be at the Edison Ballroom, which this Editor can confirm was a top-notch venue last year. More information and registration is here.

If you are at all engaged with healthcare systems and technology in the New York metro area, it’s worth your time and fisc to attend this event to be the company of over 250 C-suite executives, leaders, and policymakers.

NYeC is a non-profit which works with the New York State Department of Health to improve healthcare by collaboratively leading, connecting, and integrating health information exchange (HIE) across the state. One of their major tasks is to advance the Statewide Health Information Network for New York (SHIN-NY), a network connecting healthcare professionals statewide. 

NYeC sets SHIN-NY 2020 HIE roadmap, awards five leaders at gala

click to enlargeThe New York eHealth Collaborative’s biennial Gala last Wednesday marked the formal debut of the Statewide Health Information Network for NY (SHIN-NY or ‘shiny’) 2020 Roadmap for development of the state’s Health Information Exchange (HIE). Before an audience of most of NY state’s healthcare organization leaders and key staff, new Executive Director Valerie Grey opened the evening with a topline of the SHIN-NY’s major goals in ensuring a robust HIE supporting value-based care, interoperability including innovations such as blockchain and natural language processing (NLP), public health advocacy, efficiency, and increased affordability. It extends NYeC’s founding goals of connecting providers and achieving the Triple Aim (improved patient experience, population health, at a lower per capita cost–which we don’t hear much about anymore). The full text of the Roadmap is available for download here.

NYeC recognized five healthcare leaders:

Transformative Leader: David Blumenthal, MD, President of The Commonwealth Fund, who is past Information and Innovation Officer at Partners Healthcare in Boston. The Commonwealth Fund is an independent research entity on health and social issues. Most recently, this Editor reviewed their paper on Spanish-language telemedicine assistance services [16 Aug]. Dr. Blumenthal noted the transformative spread of health records, to where a younger generation cannot conceive of dependency on written charts, and access of patients to their personal health records. He also noted the lack of system interoperability and usability. Will there be a disruptive entrant as he predicts in the future?

Honorees:

James (Jim) R. Tallon, Jr., former president of the United Hospital Fund of NY and former chairman of The Commonwealth Fund. He recounted the early years of NYeC (as a board member). In looking at the future, he hopes we can find our way to a more effective public policy. Overall, he believes that healthcare will be better organized and benefit more people. 

Paul Macielak, Esq., president and CEO of the NY State Health Plan Association which represents 29 NYS health plans, discussed the benefits of building out ‘the next mile’ — the HIE for the Capital (Albany) region for the consumer and the provider communities.

Patrick Roohan, VP Data Management and Analytic Solutions, MVP Health Care, was formerly the state Deputy Commissioner/Director of the Office of Quality and Patient Safety. He noted healthcare’s growth through technology and the effect it will have on quality and safety.

The night’s final honoree was Eugene (Gene) Heslin, MD, First Deputy Commissioner of the NY State Department of Health (DOH) and a family practice physician from Saugerties. (more…)

NYeC’s 2017 Gala and Awards (NYC) 1 November

Wednesday, 1 November at the Edison Ballroom, NYC, 6:30pm

The New York eHealth Collaborative, which promotes healthcare in NY State and elsewhere by leading, connecting, and integrating health information exchanges in New York, will again host their annual evening Gala and Awards in NYC. This year the lead award (Transformative Leadership) will be awarded to David Blumenthal, MD, President of The Commonwealth Fund (the home of the Triple Aim). Having been to this event in the past, it is attended by the leadership of most major health organizations in New York such as New York-Presbyterian, NYU-Langone, Maimonides, and payers such as Aetna. Click here for more information and for tickets. The revenues support the work of NYeC in promoting interoperability through entities such as the Statewide Health Information Network for New York (SHIN-NY), which links New York’s eight regional health information organizations (RHIOs) or Qualified Entities (QEs) throughout the state. They also fund NYeC’s work in developing policies and standards supporting the use of health IT and EHR adoption. Hat tip to Jesse Giuliani of NYeC and Sarianne Gruber of Answers Media.

Now EHR data entry 50% of primary care doctors’ workday: AMA, University of WI report

click to enlargeWhere’s the doctor? Typing away! A fact of life doctors have agonized on over the past ten years–even great advocates like Robert Wachter, MD above at NYeC last year–is the clerical burden of EHRs and patient data entry. A late 2016 time and motion study in the ACP Annals of Internal Medicine (AMA, Dartmouth-Hitchcock, Australian Institute of Health Innovation) noted a mere 49.2 percent of ambulatory physicians’ time spent on EHR and desk work. Mayo Clinic (above) has been tracking both the burnout and the burden as 50 percent (above).

Now we have a new three-year study published in the Annals of Family Medicine led by the University of Wisconsin Medical School tracking EHR data entry as 52 percent: 5.9 hours of an 11.4 hour workday. This includes allied clerical and administrative tasks including documentation, order entry, billing and coding, and system security accounting for 2.6 hours, close to 50 percent of the 5.9 hours daily.

Is there a way out? The study’s recommendations were:

  • Proactive planned care
  • Team-based care that includes expanded rooming protocols, standing orders and panel management
  • Sharing of clerical tasks including documentation, order entry and prescription management
  • Verbal communication and shared inbox work
  • Improved team function.

Much of this sounds like burden shifting to deal with the EHR, not a redesign of the EHR itself, but the commentary in AMA Wire makes it clear that it was shifted in the first place by the EHR designers from other staff to the doctor for direct entry. Other time savings could be realized through moving to single sign-on (versus dual entry passwords) to advanced voice-recognition software. (UW release)

The earlier ACP study excerpt in NJEM Journal Watch has physician comments below the article and they blast away: (more…)

NYeC Digital Health Conference (NYC)–next week

NYeC Digital Health Conference, 6-7 December 2016 | New World Stages, New York, NY
The New York eHealth Collaborative’s Digital Health Conference brings together 500 senior-level healthcare industry leaders to learn about new innovations and to foster dynamic conversation addressing how healthcare is being redefined through technology. It is well on track to fill completely, so if you’ve been delaying your booking, now is the time. And our readers enjoy a 10 percent discount.

Updated and expanded agenda here.

Keynote speakers:
• Robert Wachter, MD, Professor and Interim Chairman of the Department of Medicine, University of California, San Francisco, author of “The Digital Doctor: Hope, Hype and Harm at the Dawn of Medicine’s Computer Age” [TTA 16 Apr 15]. (To this Editor, this is a must-see keynote!)
• Steven Johnson, PBS Host and Bestselling Author, “How We Got To Now” and “Where Good Ideas Come From”

Some other speakers: Carol Raphael, the former CEO of Visiting Nurse Service of NY; Kristopher Smith of Northwell Health; James Mault of Qualcomm Life and Aron Gupta of Quartet Health. This year a who’s who of New York’s healthcare and health tech community will gather for two days of networking, lively intellectual exchange, and exploration to see what’s new, what’s cutting edge and what will shape the future of healthcare.

It’s worth taking the trip to NYC for this right before the holidays! For more information, click here for the website.

Telehealth & Telecare Aware Readers receive a 10% registration discount. Click on this link or the sidebar advert. Important–use code TTA when registering. For updates, @NYeHealth. TTA is a conference partner/media partner of the NYeC DHC.

NYeC honors four at annual gala

The NY eHealth Collaborative, which develops policies and standards supporting NY state-wide initiatives in healthcare information/data exchange, including the development of the SHIN-NY (Statewide Health Information Network -NY), Wednesday night honored four major NY-based forces in healthcare in New York City. Steven Safyer MD, CEO of Montefiore Health System, Jason Gorevic of telemedicine provider Teladoc, Thomas Mahoney MD of Finger Lakes Health System and Lisa Perry of Community Health Care Association, NYS. While award ceremonies usually don’t come bearing insights, Dr Safyer’s was succinct in what health systems face: that price is compressing over time and that it’s about managing that, not ‘managing care’ which is the usual shorthand. NYeC News.  This Editor missed the usual event in conjunction with the gala, NYeC’s Digital Health Conference, and hopes it makes a reappearance next year. NYeC also partners with the Partnership Fund for NYC in the three-year old New York Digital Health Accelerator (NYDHA) which has six companies in its 2015 five-month program.

NY Digital Health Accelerator 2015: call for applications

click to enlargeDeadline: 18 May. The third annual call for applications for the New York Digital Health Accelerator is now open. NYDHA, a joint program run by the New York eHealth Collaborative (NYeC) and the Partnership Fund for New York City, is a five-month program for ten early- and growth-stage digital health companies in New York (or willing to locate in NY state). What makes the program distinctive in their view, in addition to being in NY, is that it offers unique exposure to top-level healthcare executives and venture capitalists while accelerating product development and access to capital. Certainly its 20+ partners come from the top level of NY healthcare companies and providers, such as Aetna, North Shore-LIJ Health System, Winthrop University Hospital, Rochester General, VNSNY, Mount Sinai and many others. 15 companies in the prior two years of the program have done extremely well, raising a total of nearly $41 million in additional capital post-program, securing 33 pilots and creating more than 120 jobs. Two were acquired: Avado and Remedy Systems. New for 2015: to encourage collaborative innovation, two companies can jointly apply to present a combined solution. NYDHA website, press release, FAQs on applying.

EHRs can’t exchange patient records? $$ in workarounds.

Some of the Excedrin/Panadol Headaches (#11, #14, #23 and #54) in healthcare are around the very ‘miracle technology’ that was supposed to make it all seamless, non-duplicative, time/cost-effective and coast-to-coast–EHRs. The exchange of patient records between hospitals, within health systems between sites and with medical practices plus vice versa–works haltingly if at all. It works best within well-established, highly integrated delivery systems –the VA, DOD, Mayo Clinic, Kaiser, Geisinger, Intermountain Healthcare. But once you’re away from it–good luck. Where are the problems? The closed standards of the major hospital EHRs–Epic, Cerner, Allscripts, McKesson and brethren; the extreme customization most health systems demand (nay, a major Epic selling point!); structured versus unstructured data and how handled; a lack of a secure interoperability standard are but a few. Where is the gold? Getting patient health records exchanged, accessible and transportable, among systems that were essentially designed not to speak with each other. (more…)

Qualcomm (Second) Life: a conversation with Jim Mault

One of the surprises for this Editor, and for others attending the mHealth Summit, was to see the sizable presence of Qualcomm Life on both the exposition floor and during the sessions. From a near-nil presence at ATA 2014 and gone dark on news, the floodlights snapped on last week with new partners and a new emphasis: coordination of chronic and transitional (hospital to home) care management (CCM/TCM).

On the show floor, the spotlight was on the partner companies which mixed the established with (mostly) the early and mid-stage. Readers will recognize names such as AliveCor, Telcare, OMRON, Nonin and Airstrip; not so well known are Vaica, Orion Health, Monitored Therapeutics, IMPak Health, Vital Connect, Care Connectors, toSense (CoVa), Dexcom, InteliChart, TruClinic, ForaCare, VOXX, vitaphone (outside of Europe), Propeller Health and Noom Health (a NYeC Digital Health Accelerator 2014 graduate). The partners occupy different parts of the management continuum, integrating communications, record sharing, population health management, sensor-based monitoring, traditional and non-traditional vital signs monitoring, medication management, behavioral change methodologies and PHRs. The 2net Hub is still present for data transmission, sharing and storage, but more prominent is Qualcomm Life’s HealthyCircles platform which provides the clinical management ‘glue’: secure communications, record sharing and care team coordination. HealthyCircles was purchased in mid-2013. Founder James Mault, MD, FACS joined Qualcomm Life as VP/Chief Medical Officer.

We had some post-mHealth Summit reflection time by telephone this Wednesday while Dr Mault was in Boston. (more…)

NYeC Digital Health: two diverging visions of a connected future (Part 1)

The New York eHealth Collaborative’s fourth annual Digital Health Conference is increasingly notable for combining both local concerns (NYeC is one of the key coordinators of health IT for the state) and nationally significant content. A major focus of the individual sessions was data in all flavors: big, international, private, shared and ethically used. Another was using this data in coordinating care and empowering patients. Your Editor will focus on this as reflected in sessions she attended, along with thoughts by our two guest contributors, in Part 2 of this roundup.

click to enlargeThe NYeC Conference was unique in presenting two divergent views of ‘Future IT’ and how it will affect healthcare delivery. One is a heady, optimistic one of powerful patients taking control of their healthcare, personalized ‘democratized medicine” and innovative, genetically-powered ‘on demand medicine’. The other is a future of top-down, regulated, cost-controlled, analyzed and constrained healthcare from top to bottom, with emphasis on standardizing procedures for doctors and hospitals, plus patient compliance.

 

click to enlargeFirst to Dr Topol in Monday’s keynote. The good side of people ‘wired’ to their phones is that it is symptomatic, not of Short Attention Span Theatre, but of Moore’s Law–the time technology is now taking for adoption by at least 25 percent of the US population is declining by about 50 percent. That means comfort with the eight drivers he itemizes for democratizing medicine and empowering the patient: sensors, labs, imaging, physical examination, records, costs, meds and ‘Uber Doc’.

(more…)

Data streams of the future analyzed at NYeC Digital Health

Guest columnist Sarianne Gruber (@subtleimpact) also attended the NYeC Digital Health Conference and reflects on what to do with all that data patients and devices are generating–a natural for her as she is a consultant in data analytics for Encore Health Resources. 

The New York eHealth Collaborative hosted its fourth annual Digital Health Conference at New York City’s Chelsea Piers on November 17 and 18. There I was joined by 850 health-related professionals to listen, engage and see how life science meets digital technology. No doubt we have become a digital culture. Even seated on an airplane, I noticed the gentleman next to me wearing a Fitbit, and we strike up a conversation on step and sleep data and our dislike of the new dashboard. At the conference, Keynote Speaker Dr. Eric Topol, a Cleveland Clinic cardiologist and a leading practitioner of digital medicine, shared with us his thoughts on what it means be a part of this digital revolution as a patient and a doctor. Technology changes the scope of individual care. Advances in genomics now gives us answers based on our DNA that will genetically determine the success of medications and treatments. Epigenomics, a molecular diagnostics company, can prescreen an unborn baby of a mother with cancer with a simple blood test, sequencing the DNA, to manage her therapy. I was fascinated to hear that a genomic signal sensor can detect heart attacks and warn you of this possibly fatal event, and that necklace for heart failure patients can monitor fluid status averting repeated readmissions for these patients. Dr. Topol believes that digitized 24/7 patient health data will shift the patient–doctor relationship. Bringing in your self-monitored data, eliminates “the how are you feeling questions” and instead the doctor can confirm diagnosis and start treating the patient. “Patient owning data is a foreign concept and the digital revolution ushered this in.“ (more…)

NYeC Digital Health Conference is one week off

A reminder for those in the US that the two-day NYeC Digital Health Conference at New York City’s Chelsea Piers starts next Monday. Spaces are still available, and for Telehealth & Telecare Aware readers, there’s a bonus of 10 percent off registration using code TTA. Agenda for Monday and Tuesday 17-18 November is here including the Patient Shark Tank on Tuesday afternoon. TTA is a media partner of the 2014 Digital Health Conference.

NYeC Digital Health Conference (New York City)

click to enlarge17-18 November 2014, Pier 60, Chelsea Piers, New York

The New York eHealth Collaborative will hold its fourth annual Digital Health Conference with two full days of meetings and presentations. They are returning to Chelsea Piers on the Hudson River which will have ample room for the more than 850 attendees expected.

  • Keynote speakers include Eric J. Topol, MD, Director, Scripps Translational Science Institute and the controversial
    Ezekiel J. Emanuel, MD, Vice Provost for Global Initiatives & Chair of the Department of Medical Ethics and Health Policy, University of Pennsylvania.
  • The agenda includes ‘Big Data in Healthcare: Hype and Hope on the Path to Personalized Medicine’ to ‘Designing Wearables for the Long Run’ with a stop at Xanadu…no, Scanadu courtesy of their chief medical officer Alan Greene MD speaking on ‘Science, Sensors, and Superpowers—From Sci-Fi to Reality’.

Important: TTA readers receive a 10% registration discount. Use code TTA when registering at DigitalHealthConference.com  TTA is a media partner of the 2014 Digital Health Conference.

The GET Project to grow EU startups/SMEs

Associated with the international Health 2.0 organization, the GET Project provides four services to promote the growth of eHealth start-ups and SMEs (small and medium enterprises) in four different phases: opportunity identification, business model definition, fundraising and internationalization. Health 2.0 is managing the “GET Funded” service, which provides SMEs looking for Series B or follow up investment (between € 0.5-2M) with training, resources and networking opportunities with VCs and investors at the European level. (Perhaps a way around the Series B crunch?) More information. Contact Pascal Lardier, International Director at Pascal@health2con.com. Editor Donna notes that the focus here does not appear to be UK, though one of the five Advisory Board members listed is from Scotland (and interestingly, two are from the US): Jan Rutherford, Partner, Scottish Equity Partners (SEP); Sandra Bates, Founder and CEO Innovation Partners; Dave Whitlinger, Executive Director, New York eHealth Collaborative (NYeC); Ron Michael Liebkind, Founder and CMO, Laastari Retail Clinics; Rajendre Khargi, Chair, OneWorld International Foundation.

Patients’ records could be shared between NI and New York for clinical trials!

Patients’ records could be shared between Northern Ireland and New York as part of a proposal to improve healthcare and research. NI Health Minister, Edwin Poots was recently in the US for high-level talks about developing the collaboration with the New York State Health Department. Read more… TANN Ireland

Editor Donna note: Though not stated, this well could take advantage of the expansion of the SHIN-NY health information exchange (HIE) connecting hospitals, medical practices and nursing homes along with medication and management interfaces. See NYeC Digital Health Conference 2013, especially the link to the HITECH Answers article which has more information on SHIN-NY. 

NYeC Digital Health Conference 2013: the trends

Updated 21 November

The third annual New York eHealth Collaborative (NYeC) Digital Health Conference in New York City attracted several hundred people from the worlds of hospitals, public health, academia, policy makers and health insurers–and the myriad related products and services which will enable these entities to improve their health IT, organization and engage patients in their own health. If there were three buzzword phrases setting the tone, they were interoperability, patient portals and technological innovation. All relate to data–data transfer of patient records between providers to be available regionally (RHIOs) and throughout the state via the SHIN-NY health information exchange (HIE); using data to help people visualize and improve their health;  putting data into ‘whole person’ context for providers, integrating it into workflows and to save lives; using data to serve process improvement and tougher standards. And finally there is that old devil cost: reducing the cost of care, reducing expensive readmissions plus co-morbidities and making those tools to do this job more affordable for providers and patients.

NYeC has developed considerably since its early days seven years ago (more…)