Navigation Links
Health Affairs examines successes and missing links in connected health

You can successfully integrate technology into patient care, but it isn't easy. Just ask Kaiser Permanente Northern California (KPNC) and its 3.4 million members. Robert M. Pearl of the Permanente Medical Group provides a case study of KPNC's experience with Internet, mobile, and video technologies and identifies the two largest barriers to their use: the lack of reimbursements under the fee-for-service system and the financial and other resources needed to truly integrate these technologies into existing models of care. The health system has been at the forefront of electronic medical record adoption, as well as the use of subsequent technological tools that integrate with these data, and has seen continuous progress with a more than doubling of virtual patient "visits" in five years from 4.1 million to 10.5 million virtual visits annually. The author suggests that the ultimately positive experience at KPNC will become more common as the wider US health system catches up with these technologies and incentivizes their use through payment models such as ACOs and federal requirements that push providers to approach patient care as "pay for value" versus "pay for volume."

Texts and apps can also help you manage your diabetes. Shantanu Nundy of Evolent Health and coauthors analyzed how the widely used, familiar technology of mobile phones (mHealth) could help patients better manage their chronic conditions. Examining a group of seventy-four adults enrolled in an automated text messagingbased diabetes care program, they found better control of HbA1c glucose levels, higher patient satisfaction, and an overall net cost savings of 8.8 percent over the course of the six-month program. They also observed an overall decrease in costs for both the treatment and control groups, suggesting this type of approach can help health care organizations achieve the triple aim of better health, better care, and lower costs. The authors advocate for changes to the policy environment to enable mHealth's fuller potential through measures such as increased interoperability with electronic health records, clearer regulatory guidance, and stronger accountability for population health.

"The doctor will see you now" has a whole new meaning in nursing homes and could bring cost savings. David C. Grabowski of Harvard Medical School and A. James O'Malley of the Geisel School of Medicine at Dartmouth conducted a randomized study of eleven facilities in a for-profit nursing home chain in Massachusetts to determine if switching from on-call physician care during off hours to two-way videoconferencing reduces hospitalizations and/or costs. They found that facilities that were more engaged in telemedicine could reduce hospitalizations and save Medicare a net $120,000 each per year. They suggest that the findings are useful for emerging models such as ACOs, managed care, and integrated care; and policy makers should consider ways to maximize the potential benefits of telemedicine by aligning incentives.

Want to increase telehealth adoption among U.S. hospitals? Look to state legislatures. Julia Adler-Milstein of the University of Michigan School of Information and coauthors determined that state policies are influential. According to their findings, states that wish to promote the use of telehealth should explore private payer reimbursement and relaxing licensure requirements to achieve that goal. Overall, they found that 42 percent of US hospitals had adopted telehealth by late 2012 with significant variation across the country: Alaska was the highest with 75 percent, and Rhode Island had minimal adoption. Market forces and individual features of the hospital also influence telehealth adoption rates. Factors that positively influence adoption rates include serving as a teaching hospital, being part of a larger system, having greater technological capacity, and higher rurality. Factors negatively affecting adoption include high population density, being for-profit, and operating in a less competitive market.

  • In a related Entry Point piece, The Honorable William H. Frist, M.D. shares his views of how empowered consumers and advances in IT will together affect the landscape in Connected Health And The Rise Of The Patient-Consumer.

Also of interest in the February issue:

  • Despite Increased Use And Sales Of Statins In India, Per Capita Prescription Rates Remain Far Below High-Income. Statin use has increased substantially in North America and Europe, with resultant reductions in cardiovascular mortality. However, little is known about statin use in lower-income countries. To get some answers, Niteesh Choudhry of Harvard Medical School and Brigham and Women's Hospital and co-authors conducted an observational study of statin use in India. They found that between February 2006 and January 2010, monthly statin prescriptions increased from 45.8 to 84.1 per 1,000 patients with coronary heart diseasean increase of 0.80 prescriptions per month. However, only a fraction of those eligible for a statin appeared to receive the therapy, even though there were 259 distinct statin products available to Indian consumers in January 2010. The authors concluded that low rates of statin use in India may reflect problems with access to health care, affordability, underdiagnoses, and cultural beliefs.

  • New Neighborhood Grocery Store Increased Awareness Of Food Access But Did Not Alter Dietary Habits Or Obesity; Steven Cummins of The London School of Hygiene and Tropical Medicine and coauthors.


Contact: Sue Ducat
Health Affairs

Related biology news :

1. People who know their heart age make greater improvements to their heart health
2. A healthy balance
3. Third-hand smoke shown to cause health problems
4. Researchers reverse some lung diseases in mice by coaxing production of healthy cells
5. Research shows arsenic, mercury and selenium in Asian carp not a health concern to most
6. Attend the Gut Microbiota for Health World Summit 2014
7. Salamanders help predict health of forest ecosystems and inform forest management
8. International experts swarm to London for bee health summit
9. US food industry leaders to convene for health talks in Texas
10. Findings bolster fibers role in colon health
11. Wayne State discovers potential treatment for better heart health in hemodialysis patients
Post Your Comments:
(Date:10/1/2015)...  Biometrics includes diverse set of technologies used ... as fingerprints, eye retinas, facial patterns, voice patterns, ... has been constantly increasing in India ... addition to the most prominent popular method of ... of biometric authentication are rapidly gaining traction in ...
(Date:9/29/2015)... , Sept. 29, 2015 ... employee productivity while also saving energy , Minimized ... as Low Power Active Mode and embedded Fujitsu PalmSecure ... Fujitsu today shows that good things ... and refreshed models to its enterprise desktop and mobile ...
(Date:9/28/2015)... , September 28, 2015 ... expected to reach USD 12.03 billion by 2020, growing ... Technological advancements such as Backside Illumination (BSI) technique to ... over the forecast period.      (Logo: ... of the chip to reduce loss and, thus, reduce ...
Breaking Biology News(10 mins):
(Date:10/9/2015)... SAN DIEGO , Oct. 9, 2015  DePuy ... ® Flex with Q-PACK ®  Technology**, the ... use in trauma-related extremity procedures (foot and ankle, hand ... The announcement was made here at the 2015 Orthopaedic ... (provides a natural scaffold for new bone growth) ...
(Date:10/9/2015)... Arbor, Michigan (PRWEB) , ... October 09, 2015 ... ... all around us. However, the current methods of separating those cells from their ... costly, and damaging to the cells. , To address this, Ann Arbor-based startup ...
(Date:10/8/2015)... ... October 08, 2015 , ... Researchers at the University of Washington (UW) have ... a new tool to study how diseases like dementia, Alzheimer's, and brain tumors change ... Ruikang Wang of the UW Department of Bioengineering, today in the Journal of ...
(Date:10/8/2015)...  Sorrento Therapeutics, Inc. (NASDAQ:  SRNE; Sorrento), a ... and associated pain, announced today that Dr. Henry Ji, President ... the Aegis Capital Corporation 2015 Growth Conference in ... 2015 Growth ConferenceDate:Friday, October 9, 2015Time:10:00 to 10:30 ... Wynn in Las Vegas, NV , ...
Breaking Biology Technology: