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KLAS Summit: Digital Health Investment

Posted on December 4, 2017 I Written By

Healthcare as a Human Right. Physician Suicide Loss Survivor. Janae writes about Artificial Intelligence, Virtual Reality, Data Analytics, Engagement and Investing in Healthcare. twitter: @coherencemed

Healthcare Investing and Innovation: Asking the right questions.

KLAS research hosted a digital health investment symposium in Park City, Utah. One of my main takeaways was the importance of asking the right questions to healthcare stakeholders. This includes asking investors what they are interested in.

This one-day work collaboration focused on round table discussions about the interests of investors and providers in digital health. Aligning investor interests with provider needs is one of the biggest needs of healthcare. We want good capital to get to good companies. While at the round table, one of the best comments I heard was that some of the design isn’t centered around the end user. If physicians are responsible for using a product it needs to align to their interests.

Unfortunately, too many people don’t ask the right questions. A technology company might not understand their value proposition in healthcare. I’ve seen companies criticize a lack of technology adoption in healthcare. These are companies that didn’t have a clear picture of what they offered. They also didn’t have a tested healthcare product Or they didn’t ask the specific potential user what they need.

Many of the successful investors at the summit had significant operating experience in the digital health world or operations world. They contributed–if you are a technology looking for a problem, you will struggle in healthcare. You aren’t meeting a need in the market. Some shiny tech solutions are created without real consideration for end users or need. There is no market need for what some people create. Ask yourself if you are user focused. Are you building something that physicians will add to their workflow?  Did you consult physicians? What about patients?

One of the interesting parts of this summit was how many participants asked not to be quoted or mentioned as part of the effort. Many of the most important healthcare collaborative efforts happen in private meetings or surrounding larger healthcare events. The quality of conversation behind closed doors helps move healthcare progress forward.  What role does journalism play in driving this healthcare conversation? This was my personal question from the event.

Discussing barriers to adoption and success needs a private platform. KLAS research has been convening these conversations in alignment with their research and mission of providing transparency about quality and I was impressed with the amount of interest in workflow and informatics. The stereotype of an investor with no experience in healthcare is not representative of the investors present at the KLAS event. There were years of operator,  innovator, and code experience in digital health. A successful investor in digital health comes with the ability to contribute to design and network developed through years of successful companies.

Can we deliver the correct answers and create an environment of improved workflow and creating products that improve healthcare?

Here are the top 10 questions I took away from the KLAS Investor Summit

  1. What type of problems do you like to solve?
  2. How long have you been trying to solve the problems you are trying to solve?
  3. How has the nature of the problem you are trying to solve evolved?
  4. What are better questions to ask at this type of summit?
  5. What do you like to invest in?
  6. What companies do you currently invest in?
  7. How do you see creating change at the national level?
  8. What are the digital health initiatives that are important to people?
  9. What are the problems that aren’t being articulated in public discourse that digital health can speak to?
  10. What are you most excited about in digital health?

Remember the importance of asking what people need when approaching investors.

When It Comes To Meaningful Use, Some Vendors May Have An Edge

Posted on December 1, 2017 I Written By

Anne Zieger is veteran healthcare branding and communications expert with more than 25 years of industry experience. and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also worked extensively healthcare and health IT organizations, including several Fortune 500 companies. She can be reached at @ziegerhealth or www.ziegerhealthcare.com.

A new article appearing in the Journal of the American Medical Informatics Association has concluded that while EHRs certified under the meaningful use program should perform more or less equally, they don’t.

After conducting an analysis, researchers found that there were significant associations between specific vendors and level of hospital performance for all six meaningful use criteria they were using as a yardstick. Epic came out on top by this measure, demonstrating significantly higher performance on five of the six criteria.

However, it’s also worth noting that EHR vendor choice by hospitals accounted for anywhere between 7% and 34% of performance variation across the six meaningful use criteria. In other words, researchers found that at least in some cases, EHR performance was influenced as much by the fit between platform and hospital as the platform itself.

To conduct the study, researchers used recent national data on certified EHR vendors hospitals and implemented, along with hospital performance on six meaningful use criteria. They sought to find out:

  • Whether certain vendors were found more frequently among the highest performing hospitals, as measured by performance on Stage 2 meaningful use criteria;
  • Whether the relationship between vendor and hospital performance was consistent across the meaningful use criteria, or whether vendors specialized in certain areas; and
  • What proportion of variation in performance across hospitals could be explained by the vendor characteristics

To measure the performance of various vendors, the researchers chose six core stage two meaningful use criteria, including 60% of medication orders entered using CPOE;  providing 50% of patients with the ability to view/download/transmit their health information; for 50% of patients received from another setting or care provider, medication reconciliation is performed; for 50% of patient transitions to another setting or care provider, a summary of care record is provided; and for 10% of patient transitions to another setting or care provider, a summary of care record is electronically transmitted.

After completing their analysis, researchers found that three hospitals were in the top performance quartile for all meaningful use criteria, and all used Epic. Of the 17 hospitals in the top performance quartile for five criteria, 15 used Epic, one used MEDITECH and one another smaller vendor. Among the 68 hospitals in the top quartile for four criteria, 64.7% used Epic, 11.8% used Cerner and 8.8% used MEDITECH.

When it came to hospitals that were not in the top quartile for any of the criteria, there was no overwhelming connection between vendor and results. For the 355 hospitals in this category, 28.7% used MEDITECH, 25.1% used McKesson, 20.3% used Cerner, 14.4% used MEDHOST and 6.8% used Epic.

All of this being said, the researchers noted that news the hospital characteristics nor the vendor choice explained were then a small amount of the performance variation they saw. This won’t surprise anybody who’s seen firsthand how much other issues, notably human factors, can change the outcome of processes like these.

It’s also worth noting that there might be other causes for these differences. For example, if you can afford the notably expensive Epic systems, then your hospital and health system could likely afford to invest in meaningful use compliance as well. This added investment could explain hospitals meaningful use performance as much as EHR choice.