A digital marketplace that connects nurses with health care organizations for short-term clinical work was launched by New York City-based Nomad Health in Texas, which has the largest Nurse Licensure Compact, as a first step in addressing the looming shortage in nursing staff. Nomad, which operates a similar network for doctors in 14 states, intends to deploy the platform across the US over the next 12 months.
Ed Marx comments on disruptive tools in health care
Ed Marx, NYC HHC IT leadership team
Nomad is an early example of some of the disruption in legacy health care business and processes we will see over the next two to three years. Another good example that is just making its way into our industry is Fiverr. Fiverr is the world's largest freelance services marketplace and allows entrepreneurs to have access to entire markets where they can easily compete against established brands. One of the reasons I use Fiverr and other emerging tools is so I can get a sense of disruptive forces and then consider their potential application in health care. That is what the founders of Nomad have done.
Clearly, if we don't experiment and keep our eyes open for potential disruptive tools, we become part of the problem that has plagued our change-averse health care IT culture. That is why I appreciate some of our forward-thinking CIO colleagues who are experimenting with block chain or partnering with select vendors to co-develop products and services that transform the current state.
There are so many opportunities out there to invent something to improve the lives and wellness of the communities we serve. Imagine how quickly change would come about if every CIO tried at least one thing new in tackling an existing challenge. Then we can call ourselves business leaders.
A Reaction Data study found that 35% of 113 health care professionals surveyed said they are now "significantly more suspicious of other EHR vendors" than they were before the settlement between eClinicalWorks and the Department of Justice. The deal also led 27% of respondents to say they have reduced confidence in their current EHR vendor, according to the study.
Promoting health information sharing and reducing EHR burden on physicians are among the major priorities of the ONC, said National Health IT Coordinator Dr. Donald Rucker. He also cited ONC's plan to help developers create smarter EHRs and described three major use cases on interoperability that the agency is focusing on: patient and third-party developer access to data, as well as open application programming interfaces mandated by the 21st Century Cures Act.
Health IT startup Health Fidelity launched HF360 Data Acquisition, an EHR data acquisition tool for health care providers and health plans. The vendor-neutral tool can retrieve patient records from all major EHR systems and can get clinical data in an EHR-agnostic manner.
The CMS should reduce administrative burdens on physicians participating in the Quality Payment Program's Merit-based Incentive Payment System, which assesses physicians based on EHR use, quality, practice improvement and cost, according to the Medicare Payment Advisory Commission's June report. MedPAC suggests using more population-based outcome measures and relying more on claims data and survey results to evaluate a physician's performance.
Health care organizations can be successful in implementing telehealth by formulating a strategy and identifying specific clinical services that will be involved, considering operational issues and decisions, and implementing proper oversight, writes Sue Schade, interim CIO at Stony Brook Medicine. They should also establish common platforms and standard tools as well as leverage user feedback to test and refine technology and workflows before major deployment, Schade writes.
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Most of the change we think we see in life is due to truths being in and out of favor.