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Patient Engagement and Collaborative Care with Drex DeFord

Posted on August 7, 2017 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

#Paid content sponsored by Intel.

You don’t see guys like Drex DeFord every day in the health IT world. Rather than following the traditional IT career path, he began his career as a rock ‘n roll disc jockey. He then served as a US Air Force officer for 20 years — where his assignments included service as regional CIO for 12 hospitals across the southern US and CTO for Air Force Health — before focusing on private-sector HIT.

After leaving the Air Force, he served as CIO of Scripps Health, Seattle Children’s Hospital and Steward Health before forming drexio digital health (he describes himself as a “recovering CIO”). Drex is also a board member for a number of companies and was on the HIMSS National board and the Chairman of CHIME.

Given this extensive background in healthcare IT leadership, we wanted to get Drex’s insights into patient engagement and collaborative care. As organizations have shifted to value based reimbursement, this has become a very important topic to understand and implement in an organization. Have you created a culture of collaborative care in your organization? If not, this interview with Drex will shed some light on what you need to do to build that culture.

You can watch the full video interview embedded below or click from this list of topics to skip to the section of the video that interests you most:

What are you doing in your organization to engage patients? How are you using technology to facilitate collaborative care?

iPads Out, “Zero Clients” In As EMR Front Ends At Seattle Children’s

Posted on December 14, 2011 I Written By

Katherine Rourke is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.

It’s a good thing the IT execs at Seattle Children’s Hospital did a thorough test before they rolled out an iPad front end to their Cerner EMR.  As it turns, out going with the iPad might have been a disaster. In fact, the whole incident begs the question as to whether the iPad works as a browser-based EMR client at all.

As readers know, iPads are very popular with doctors, and many hospitals are considering using iPads as a front door to their EMR system. But in many cases, doctors are finding that the iPad isn’t a great host for desktop-sized applications.

That’s certainly what happened at Seattle Children’s, which trialed iPads with its doctors earlier this fall.  In theory, the hospital was a great fit, as it was in the process of a Citrix virtual desktop infrastructure rollout, an approach which made apps available to any Web-connected device running a browser.

But doctors didn’t like using the iPad to access their EMR. Every doctor who was asked to test out the iPad returned it, saying that it was far too awkward to use, according to CIO magazine. “The EMR apps are unwieldy on the iPad,” CTO Wes Wright told the publication.

And when you think about it, the doctors’ reaction is no surprise. After all, they were using Safari on a small tablet to access apps designed for a 21 inch monitor, an awkward experience at best, notes CIO’s Neil Versel.

So, rather than use iPads as endpoints, the hospital has rolled out 2,600 “zero client” devices from Wyze, mounting the devices on COWs sitting by the patient bedside. (It’s also beta-testing Cisco’s Cius tablets, according to Computerworld.) Seattle Children’s should save $400,000 a year by replacing 70 watt desktops with 7 watt zero clients, Wright projects.

The hospital is consolidating access to the apps on Cisco’s Unified Computing System, and virtualizing access to Cerner using Citrix XenDesktop.

Given the problems doctors face in using the iPad-plus-browser to access EMRs, I do have to wonder so few vendors seem to have developed native iPad applications yet — even giants like Cerner with huge development budgets.

Though I have no proof of this, I get the distinct feeling many vendors would prefer to wait out the current iPad development cycle and see what Meaningful Use brings next before they jump in.  If so, are they stifling the iPad market or just being smart?  What do you think?