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  Today in Health it, the story is Chime keynote summary. One more, value creation in healthcare and patient Evolution of care access. My name's Bill Russell. I'm a former CIO for a 16 hospital system and creator of this week in Health IT at channel dedicated to keeping health IT staff current. Engaged VMware has been committed to our mission of providing relevant content to health IT professionals since the start.

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Alright, here's today's story. Today we're going to really close out the first day of the Chime Summer forum keynotes with a look at a panel discussion on value creation in healthcare patients' evolution of care access. And this panel has Dr. Daniel Nygren from Maine Health, Dr. CT Lin from uc Health in Colorado, Dr.

Natalie Pager, Stanford Children's, CMIO, and David Chow is the moderator. He's from Harris Health and former guest of this week in health. It. They broke this presentation down into two sections, a 10 minute presentation from each of the panelists, and then a q and a. And I'm just gonna cover the opening presentations.

I'm going to encourage you to sign up for the chimes number form, which you still can do, and download the uh, content which is available on demand at this point, if you want more information on these or other sessions from the . Chime Summer forum. All right. Dr. Daniel Nygren kicks us off and he talks a lot about telehealth.

Dr. Natalie Paer goes into information sharing and how important that is across complex conditions that they have at Stanford Children's and Dr. Ct. Lin talks about image sharing. It starts with. Dr. Daniel Nire and we've talked about telehealth so much. It just continues to come up, and that's because it is such an important piece of where we are going to be going.

As an industry, we saw a hundred fold increase in the adoption of telehealth. Over those early days of Covid that has since come back, but not to its pre pandemic levels to a higher level, and we're going to have to see what they do around regulation and payments moving forward. But there's a strong belief within the healthcare I.

Industry that telehealth is here to stay and it's here to stay in a significant way and we're gonna have to figure out how to integrate it into our normal care pathways. So Daniel starts off with a couple of good quotes. Telehealth has fueled that has driven our covid response. That's absolutely true.

And access in general, I think we can all appreciate has been a long-term challenge within our healthcare environments. These are both true statements. He talks about their a hundred fold increase and he gave some numbers. They went from 20. Telehealth visits a day, a hundred per week to over 9,000 per week at Maine Health, and we heard that from a lot of health systems, just a significant uptick.

One of the things he wanted to point out was it's not just video visits. There's a lot more to it than video visits. There's store and forward technologies, there's remote patient monitoring. There's the plain old telephone. Was one of the primary modalities during the pandemic and continues to be. So one of the examples he shares is remote patient monitoring.

They're using a solution from a company, but he talks about how they've used that for chronic condition monitoring during COVID. They have a hypertension program as well. They have an obesity program where they are collecting information from remote scales and other devices, and they're providing services around that.

And you know, as you look at your community, the different services that you offer around this will be dictated by what your community, . Struggles with, and each health system is gonna have to figure out what those things are. The reality is the technologies are there. The companies are there. There's an awful lot of new solutions.

We do an interview coming up here shortly with Dr. John Halamka, president of the Mayo Clinic platform, where we talk in depth on this, on the This Weekend Health IT Show. Gonna want to tune into that and just hear where other organizations are going on this. Dr. Natalie Pager goes next, and she's from Stanford Children's.

You have . Different laws in each of the 50 states, which dictate what you can and cannot do with regard to sharing. But children's hospitals have a unique patient set with complex conditions, especially a, a uh, children's hospital like Stanford. And she shares a great story. I'm gonna gonna go ahead and share the story 'cause I think it provides a lot of context to, for this discussion.

And this is from the patient of one of the. Children with a complex condition and the quote goes open notes are amazing. I wish all my son's specialists did this. It has allowed his primary care physician to understand his case better, allowed me to print out neurology reports for his school for IEP testing purposes and refer back to our previous care decisions which change often with a medically complicated child.

Honestly, my son's disorder is so rare and complicated. We are often the experts educating other doctors. And so having access to everything, it makes it far easier for me to provide the full context to each new physician we meet, and there are a lot of them. I really wish that more doctors use these open notes.

I. And Natalie goes on to say, as these quotes illustrate for incredibly complex children, like we see at Stanford Children's Health, there's so much information and so many doctors and caregivers involved, that is absolutely critical that the patients and families have access to all the information and import it from one care provider to another in order to provide comprehensive coordinated care.

ct. Lynn starts off. . Very, uh, interesting question. So here's your clinical correlation question for the day. The patient brings this image to you and says, I posted a screenshot of my CT scan on Twitter, and here's some of the questions that my Twitter friends wanted me to ask you. What is your response?

Is it, where'd you get this? You're not authorized to see that. Get out of my office. You hacker. This is not your scan otherwise. You would be too sick for this conversation, or Twitter is so last year, why aren't you using Snapchat? He opens with that. It's a really interesting question, to be honest with you, because you know, quite frankly, after we give the information to patients, I.

It really is not a HIPAA situation anymore. They're sharing their own information, be it good, bad, indifferent, but they have decided what their community is that they're going to share it with and get information back on their condition that they could bring back to the doctor. So anyway, he goes on to talk about uc Health a little bit.

And how their patient portal accounts have really exploded, but really what he wanted to focus in on was image sharing and very rapidly came up with an image sharing solution that they took through governance and, and got approved. They then went out and did a patient survey, and I found this really interesting.

They did a patient survey. And they got four main responses from the patient. Survey around the image sharing. One is, images should be viewable side by side because the images by themselves can be confusing. Patients thought there might be concerns about security and having their images on the internet.

Shouldn't we have a detailed explanation? Was another concern, including a note that would explain more things and they wanted more information on safeguarding of their information. They decided to not listen to any of that and essentially went live with it. Didn't change a thing, and they had an 86% uptake with a very high net promoter score on this whole thing.

So people were very excited about the solution. They used the solution significantly, both on the patient and the provider side. So it's really interesting how, uh, a simple solution like that has significant uptake and how they decided not to use the initial . Feedback from the users, get the solution out there to the masses, and then see what kind of feedback they got at that point.

And the feedback was extremely positive. So they also went back out to a sample. They looked at a sample of people who were sharing their information on social media. So 50 patients in their sample. And why are you sharing the information? And they said, you know, it's their community. It's their friends and family.

When they share it on Facebook, they're sharing it with their friends and family. They also find that they like to encourage other people who have similar conditions. There's an opportunity to make lemonade outta lemons, and they just really want to share their stories. They also shared about our notes, which I also found really fascinating.

Our notes. Is their ability to ask the patient for their information, right? So it's a co-authored note between the provider and the patient. So the patient's given a questionnaire three days prior to a visit. They put the information in, and then when they show up at the visit, that information is automatically populated into the note and can facilitate a conversation between the provider and the patient with regard to that note.

So again, I love these kinds of presentations. You get so many different ideas so quickly, that's 30 minutes. They just went to town, shared what they're doing, and my so what on this is, as you know, I try to do a so what at the end of each one of these stories, which is why does this matter? Why should you care?

And you can't be innovative in every area. Your system will choose the areas to focus on. But I want to drive home a point that I made last week, which is follow the industry. This is an example of the great presentations that we have available to us at CHIME and HIMSS events. You hear some great examples of how these health systems are engaging patients with the use of technology, learn.

To be a fast follower, help your system to be a fast follower. The process is pretty simple and you already know it, right? You attend these sessions, you listen and determine the relevance to your system. Make an introduction. Healthcare is far and away the best industry for information sharing and collaboration.

Learn more yourself and then introduce key team members across organizations. Set up that collaboration. It'll be very one-sided to start, but as you get your initiative off the ground, you'll start sharing some things back and forth and it'll become a valuable collaboration and do what you're gonna do and then give back to the industry like the other organization has given to you.

And so we keep that virtuous cycle going. That's a rough outline. Each one of these. Collaborations takes on its own life. But in general, I want to encourage you to use the power of the industry that you are a part of. Learn from others and learn how to be a fast follower in this industry that is loaded with innovators.

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