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A Consumer View of Healthcare Reforms and IoE driven Healthcare IT Innovations

In the past, they were called ‘Patients’, today their mindset and their behavior patterns have changed; they are called ‘Consumers’ of healthcare. They just don’t look at healthcare to consume the services when they are sick, but see it as a means to help them maintain their wellness and remain healthy. They want to be in the driver’s seat, and they want to be empowered and be part of the care decisions.

The Health Care Reforms and Health Care Internet of Everything (IoE) have accelerated the adoption of ‘consumer like’ behavior. From its focus on increased access to care and information, prevention and wellness, the meaningful use criteria calls for specific metrics such as the need for at least 5% of patients to send secure messages to providers. These have accelerated the use of patient portals and mobile apps and wellness devices. According to a report by Research and Markets, the mobile health market is expected to reach $26 billion in revenue by 2017.

Earlier this week, I was presenting at a security conference, the SecConX conference 2014 on the subject ‘At the Security Crossroads of Health Care Reforms and IoE enabled e-health’. I started off the presentation with a slide with three questions to gauge the audience’s adoption of consumer grade fitness devices, patient portal and mobile apps.

Guaging Consumer Adoption of Fitness devices, Patient portals and Mobile Apps

Gauging Consumer Adoption of Fitness devices, Patient portals and Mobile Apps

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Pandemic Preparedness: Leveraging Cloud based Solutions

In the last two parts of this series, we looked at

Part 1: Why we need to consider virtual care as part of our strategy for pandemic preparedness

Part 2: How virtual care can enable the process transformations to enable business continuity while mitigating the risk of exposure to staff and patients.

In this part, we ask the question: Why Cloud?

When it comes to preparing for a pandemic, there are many unknowns; however, three things are very difficult to precisely predict:

  • Timing: When will the next Pandemic happen?
  • Impact: Who will be affected and how much disruption can happen?
  • Geographical spread: Where will the outbreak happen and spread?

When the scope is unclear, it is always very difficult to plan well. When we look at the options in front of us, we have mainly two options

  1. Commit infinite resources to address the worst case
  2. Leverage a model that can scale based on the need

Obviously, the first option is not a practical business solution. With option 2 being the default approach, this is where the agility of the cloud comes handy. While cloud provides many advantages, let us look at some of the key benefits of cloud when it comes to preparing for a pandemic. They are:

The Convenience of the Cloud:

As we saw in the last part, navigating around the path of the virus can be achieved by using virtual care. Cloud based solutions provide the convenience of accessing services from anywhere, anytime, from any device without having to pre-install. Patients can leverage SaaS based Virtual care solutions to interact with the care teams without leaving their home. New work flows can be pushed out quickly to enable Self-service and dynamic process changes. Read More »

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Pandemic Preparedness: Leveraging Cloud based Virtual Care to navigate around the path of the virus

We continue our journey from where we left on part 1 of this series on leveraging Cloud based virtual care in our strategy for pandemic preparedness.

As the news of the pandemic outbreaks occurs, and as patients start seeing flu like symptoms, it’s natural for patients to show up in hospitals and urgent care centers. The care givers that the patients with flu interact are at higher risk of exposure. The US occupational safety and health administration (OSHA) has classified healthcare workplaces to be at very high or high exposure risk for pandemic influenza. For example, a personal that is collecting specimens from pandemic patients is at a very high risk of exposure.


Path of the Virus: Touch points where the healthcare staff is at risk of exposure in a traditional care model

According to CDC guidance, People with flu can spread it to others up to about 6 feet away through droplets made when people with flu cough, sneeze or talk. So proximity and in person interactions must be managed carefully while services are provided.

If we were to track the imaginary path of the flu virus (as a person with flu travels to various places in a hospital), every interaction he has with a staff in person is a potential touch point where he can spread flu. It could be the parking lot, the lobby where he might be passing through healthy visitors, care givers or other patients, the staff at the registration/check-in desk, the nurse or the doctor in the examination room, the staff in the lab, the checkout desk, and list goes on.

Now, let’s look at how virtual care technology driven strategies can help reduce the risk of exposure and at the same time provide essential services to patients. Here are few approaches: Read More »

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Pandemic Preparedness: Is Cloud based Virtual Care in your strategy?

Source: CDC Fluview 2013-2014 Influenza Season Week 11 ending March 15, 2014

Source: CDC Fluview 2013-2014 Influenza Season Week 11 ending March 15, 2014

I was thinking the seasonal flu for the year was almost over, and then last week, I get flu. While looking at the CDS fluview, it continues to report a downward trend in its week 11 reports. Most of the states have almost had turned green, expect for Texas, and I just happened to be lucky in Texas.

When we carefully look at the trends of current seasonal flu based on the Influenza positive tests results reported to CDC, it shows that the last 2 months of 2013 had an upward trend and peaked at the end of the year and the downward trend started in the early weeks of year 2014.

Source: CDC Fluview 2013-2014 Influenza Season Week 11 ending March 15, 2014

Source: CDC Fluview 2013-2014 Influenza Season Week 11 ending March 15, 2014

Now, for a second, let’s think: what happens if the trend didn’t take a downward trend, but kept trending upwards – one of the typical situations that differentiate an epidemic or pandemic with a seasonal flu trend.

Pandemic is an epidemic occurring over a very wide area affecting large number of people. This can happen when new strains emerge for which people have very less resistance and there are no ready made vaccines available and hence the disease spreads while preventive and medical care is developed to overcome the situation.

According to, each flu season, nearly 111 million workdays are lost due to the flu, amounting to approximately $7 billion per year in sick days and lost productivity. A pandemic could cause not just the financial cost of lost productivity, but also result in wide spread loss of life if not managed well.

While predicting the exact time for the next pandemic is impossible, preparing for one is an absolute must for businesses and communities to ensure the health of employees and citizens. WHO and CDC lead the effort in providing recommendations and checklists for pandemic preparedness.

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Cisco Connected Health Summit at HIMSS14 Highlights Patient Engagement

We hope you were able to join us and several hundred of your peers, for the 7th Annual Connected Health Summit at HIMSS14.  It was a half-day meeting featuring sessions by healthcare thought-leaders who discussed ways to transform the delivery of care through:

  • Cisco Connected Health Summit 2014Continuous patient engagement (pre-, point-of, post-care)
  • Accelerating the movement of clinical data
  • Individualizing the patient experience
  • Entertaining mobile apps
  • Personalizing healthcare for the 21st century

We have had many requests for the presentations so we have included some of the files here for you to view and to share with your colleagues.

A Fresh Look at Patient Engagement
Barbara Casey
Executive Director of Healthcare, Cisco

Barbara discussed her personal perspective on patient engagement, while citing new research illustrating industry trends and directions. 

Connecting Retail Clinics and Pharmacies to the Medical Home 
Dr. Troy Brennan
Executive Vice President and Chief Medical Officer, CVS Caremark

Dr. Brennan described an integrated approach to the medical home explaining how CVS Caremark is evolving into a pharmacy innovation company.

Three Experience Pillars of Personal Health
Eric Dishman
Intel Fellow and General Manager of the Health & Life Sciences Group, Intel

Eric discussed his own personal journey through the health system as well as Intel’s journey to enable a “personal health” model of care for the 21st century.

Plan now to join us for the 8th Annual Connected Health Summit next year at HIMSS15!