Health care: It’s time for technology

Microsoft

This is part of a series of posts about cutting-edge areas of innovation. The series is sponsored by Microsoft. Microsoft authors will participate, as will VentureBeat writers and outside experts.

Here’s a sobering thought: I can walk into any local car dealership and buy a $30,000 piece of merchandise, leaving nothing behind but my signature — but if I show up that same day at the hospital, unconscious after a collision in my new car, there’s not a soul in that emergency room who will know what medications I’m taking, what allergies I have or where my living will is stored.

Even the most partisan players in the debate over health care reform agree on two things. One, that this is crazy. And two, that technology can help. The good news is that, over the last few years, the tech industry has stepped up and is beginning to deliver solutions that will make a real difference.

One particularly promising class of solutions revolves around personal empowerment — platforms, tools and services that enable individuals to become active participants in their own care. For example, both Microsoft HealthVault and Google Health provide free, secure accounts where patients can organize their health information and easily share it with their doctors and nurses.

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And these aren’t mere online “lock boxes” — they are connected platforms that technology companies can build out to create even more value. For example, blood glucose meters like LifeScan’s OneTouch (see below) can automatically upload readings to HealthVault, and from there they can be shared not only with doctors, but nutritionists and family members (based on user preferences, of course). And that same information can sync with services like MyVitalData to make sure the right information is there in the emergency room when it’s really needed.

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For these innovations to matter, it’s critical that individuals are able to share their information freely and simply, so that it’s available where and when it’s needed. We’ve worked hard with HealthVault to deliver on this promise, reaching out to connect with hospitals, doctors, fax machines — even traditional competitors like our friends at Google Health.

People are ready for this new world. About 83 percent have searched for health care information on the web; 3.1 million Kaiser Permanente patients access their personalized health portal, with 163,000 visits per day and a 91.2 percent satisfaction rate. Health-focused social networking sites like PatientsLikeMe are redefining the way people live with chronic diseases. And HealthVault alone has hundreds of partners working to connect their solutions into this new “personal health universe.”

Additionally, the Obama administration recognizes the potential for health IT innovations to both reduce costs and improve patient care, and has begun to allocate significant government dollars to the effort. While it is unclear how the current health care reform efforts will impact the adoption of health IT in coming years, it is clear that innovations in the health IT industry will continue to play a role in modernizing and improving our medical system.

Here’s an overview of several technologies that will make a difference in coming months and years:

Microsoft HealthVault is a free and secure personal health application platform that allows people to collect, store and share their health information with family members and participating healthcare providers, as well as provides a choice of third-party applications and devices to help users manage things such as fitness, diet and health.

Google Health is a free, Web-based service that enables users to organize health information, gather medical records from doctors, hospitals, and pharmacies, and share information securely with a family member, doctors or caregivers.

LifeScan’s OneTouch family of products are blood glucose monitoring devices for people with diabetes, offering fast, accurate blood glucose testing along with 24-hour toll-free service and support.

MyVitalData Emergency Communication Gateway manages health information within a secure network of hospitals, first responders and disaster response organizations to ensure healthcare providers have your most up-to-date and critical information.

Sean Nolan is the chief architect and general manager of the Health Solutions Group at Microsoft, where he directs all aspects of product development and operations for the consumer health platform. His specific responsibilities include product definition and design, partner engagement and support, product execution, quality assurance, customer support, and ongoing operations.

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About the Author, Sean Nolan

Sean Nolan is the chief architect and general manager of the Health Solutions Group at Microsoft, where he directs all aspects of product development and operations for the consumer health platform. His specific responsibilities include product definition and design, partner engagement and support, product execution, quality assurance, customer support, and ongoing operations.

  • Sean: As the healthcare industry makes greater use of electronic data, the new HITECH legislation (enacted by Congress February 2009), is requiring strong privacy controls. HITECH will motivate healthcare entities to maintain robust logs and audit trails recording access to all electronic patient data, whether the data be in email, qualified e-patient records, treatment equipment or otherwise. Compliance will not be easy or cheap. Detailed analysis: http://legal-beagle.typepad.com/wrights_legal_b... --Ben
  • Agreed. A massive technology upgrade is a must have for any health care reform.

    The attached article outlines the problem from the doctor's perspective:

    http://www.easthamptonstar.com/dnn/Home/News/DI......

    However, electronic medical records still a "must have" high priority item for a variety of reasons (less mistakes, cost savings, portability, accessibility, etc.) but huge tech hurdles particularly relating to interoperability and compatibility.

    I think this should be a high priority for the gov't, along with insurance reform, tort reform, improved safety net and proper incentives for healthcare consumers.
  • DossyDomo
    Oh wow, now that sounds like fun dude, I like it!

    RT
    www.privacy-web.pro.tc
  • billlappen
    But privacy is still important and I worry about trusting a computer system with my information. Computers can be hacked. How about anonymous data? www.AMCC.me is a site that seems to be doing that and I don't think they can figure out who I am. Any thoughts on that?
  • I see technology as a large jump in the future for surgery and many other contributes but it is the future and there is nothing much anyone can do about it so jump on board while you can. he only problem i see is the protection of personal information, which is always a problem even today the laws need o become more involved in punishing and catching criminals in order to resolve this issue more and then i think we would be ready to step forward.
  • John in California
    Sean, The costs associated with Kaiser system you mentioned are often overlooked (and tangible benefits overstated). If one were to use the costs from KPHealthConnect and then extrapolate to the rest of the US physician population, the expected cost is alarming (and makes the ARRA's $19B seem like a drop in the bucket) :

    KP HealthConnect cost: $6B
    Number of Kaiser physicians: 14,600

    KP HealthConnect cost per Kaiser doctor: $410,959.90

    Total number of physicians in US: 850,000

    Projected cost of KP HealthConnect if extended to all physicians in US: $349,315,065,000
  • Nice write up from Sean Nolan. I have been a HealthVault advocate from day one and use it for myself and family, works good. What happens if your physician dies as I recently posted, and all your records are shredded? Something to think about. By the way I have an entire section on my blog along with a permanent link to get started with HealthVault on my blog. There are a lot of "how to'" and images on what you can do with HealthVault.

    http://ducknetweb.blogspot.com/search/label/Per...
  • There is a very good reason why IT in healthcare is in the stone ages. Everyone is paranoid about patient health information being abused. There are very, very strict privacy laws that make it extremely problematic for companies to set up easily accessible systems. The reason why one hospital doesnt have another hospitals patient records is exactly because of these privacy laws. Do you know what kind of hassle getting someones paperwork from another hospital is? You and the patient have to sign information release forms, and there currently is no way of knowing which hospital has what records, other than by asking the patient.

    The reason why IT hasnt taken off has nothing to do with lack of motivation or technology, and everything to do with strict privacy laws and (justified) paranoia. (Thank you insurance companies for making everyone paranoid about rescission)
  • John in California
    I agree about being being paranoid about rescission but believe that the lack of sharing between hospitals goes far beyond privacy laws. In my experience, many healthcare institutions consider your health record to be their property. By their having the only copy of your record (or a large portion of your record) you are much more likely to return to that specific institution. In addition, I know for a fact that hospitals and physician practices often review your chart and "scrub" it prior to delivering it to you, another provider, or an attorney. I can imagine that consumers would howl if banks were to have a similar practice.

    Finally, I also agree about healthcare IT being in the stone ages. The aforementioned "KP HealthConnect" expense did not include even basic integration with medical devices. For example, when a patient goes in to see the doctor and the assistant measures their vital signs (using Welch Allyn and GE Dynamap devices) they need to manually type this information into the $6B medical record.
  • pixpol
    Even in terms of just providing better education and information to patients, hospitals can turn to social media technology like Twitter and virtual worlds. Places like the Mayo Clinic are doing so already. We were so shocked we actually had to put a feature up on the blog: http://www.pixelsandpolicy.com/pixels_and_polic...