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CIO Unplugged

Going Mobile

Published December 1, 2009 5:30 PM by Edward Marx
The views and opinions expressed in this blog are mine personally, and are not necessarily representative of Texas Health Resources (THR) or its subsidiaries.

 

"I'm going home, and when I want to go home, I'm going mobile. ... Keep me moving...Out in the woods, or in the city, it's all the same to me. When I am driving free, the world's my home. When I'm mobile."

Going Mobile, by The Who, 1971, Who's Next, triple-platinum album.

 

Remember the day you bought your first automobile? Mine was a '73 green Chevy Vega with a six-cylinder aluminum block -- not exactly a dream car, but she kept me moving. The above lyrics speak to the freedom and liberty attached to owning your personal set of wheels. Like a bird released from his cage, I remember cruisin' town while cranking that song on my cassette deck. Ahh, those were the days...

Today, a similar concept of autonomy manifests in mobile computing. I recall, not too long ago, networking at social gatherings and realizing I needed access to my e-mail, but my computer was all the way back home, plugged into a wall outlet. Thanks to ongoing advancements in technology, a Blackberry Storm now rides on my belt, putting e-mail, the Internet and other info right at my fingertips, literally.

According to emarketer, 59.5 million Americans used their smartphones to access the Internet in 2008, and the researchers expect this number to climb to 134.3 million in 2013. That's one in every three people using mobile tools!

Has health care fully capitalized on this technological revolution? While the nearsighted would say yes, or worse -- who cares? -- the visionary battles against the restraints of tradition and skepticism. For the sake of our customers who are demanding access, we've got to drive mobile computing in or lose pace with society.

No institution wants to fall behind, especially once we start navigating the new highways and byways constructed by health care reform (Medical Home, Accountable Care Organizations, etc). An organization must intentionally merge its mobile-computing strategy with the hospital strategic plan. Failure to act will run the risk of getting lost on the backwoods roads and putting the organization at a serious disadvantage.

Mobile computing provides a platform through which we can influence quality care, patient safety, and financial results. We call our mobile computing strategy mHealth. Although I cannot divulge this strategy or share specifics, one well-publicized example has to do with our OB/GYN physicians and the iPhone application Airstrip OB. This mobile solution had a notable impact on clinical care and physician satisfaction. You can find other examples from forward-thinking health care organizations -- sales force automation, intelligent devices, personal health records, patient registration, electronic health records, etc. Today, the iPhone alone carries thousands of healthcare-oriented apps. Some are trial balloons while others hold promise.

Other related strategies include connected health (cHealth), which I will define in a future post. Health Information Exchange, mHealth, and cHealth are all linked -- a trifecta with potent force for the successful health care organization of the future. Accessing information anytime, anyplace, anywhere, anyapp, anymedia, anydevice, anyperson. And these are just the beginning.

The sage CIO is already engaged.

Editor's note: Mr. Marx encourages your interaction through this blog. (Use the "add a comment" function at the bottom of each post.) You can also connect with him directly through his profile pages on social networking sites LinkedIn and Facebook, and you can follow him via Twitter - User Name "marxists."

Special note: Mr. Marx will be keynoting HIMSS' "Takin' HIT to the Streets" program in Dallas on Dec. 4, 2009. In his address, titled "Bias for Action...CIO Mandate to Lead in the HITECH World," Ed will explain that while the details of HITECH are still in process, foundational principles are established. CIOs must break through institutional reluctance to ensure organizational preparedness and success.

You can register for the event by clicking http://www.himss.org/hitstreet/register.asp.

6 comments

Response to Hans.  Point taken. We failed to fully exploit the internet, how can we then expect to exploit mobility....I am hopeful we see a leapfrog situation unfold. We recognize we missed the last obvious tech revolution, lets not miss this next one...See my post why healthcare IT lags...http://community.advanceweb.com/blogs/hx_3/archive/2009/11/17/why-health-care-it-lags.aspx%0d%0a

edward marx January 24, 2010 2:11 PM

Ed,

I disagree.  How about that?  Yes, the whole world will adopt smartphones and do lots of things with them (browse, listen to music, play games. etc.), but somehow they won't be doing very much healthcare-related on them.

You ask this question: "Has health care fully capitalized on this technological revolution?"

Well, let's ask that question about the Internet.  Has healthcare fully capitalized on the Internet Revolution (it truly deserves a captial 'R')?

Unfortunately, uhhh... No.  Look, the entire Globe has adopted the Internet, but only a small fraction of healthcare software has moved online and few interactions have been truly moved to the web.  How many appointments are being self-scheduled by patients?  How many by physicians?  I can name for you every hospital in the World doing these things (our customers) and it's a tiny fraction of what it could be.  How many claims are emailed instead of mailed?  How many bills are paid by check vs online?  How many interactions between a patient at home and their local physician are done online?

Healthcare has yet to truly adopt the Internet.  It's a tremendous missed opportunity.  How much does THR spend on mailing claims?  How about taking scheduling calls?  Multiply that by 1,000 and you have the national savings opportunity just for hospitals.  

The bottom line, in my opinion, is that healthcare will be ridiculously far behind in making meaningful use of smartphones too.  Sure, there will be apps for reading results on a smartphone SCI will have apps for self-scheduling at some point, and there will be other neat little iPhone and Android apps, but they'll be adopted by a small fraction of the hospitals that could use them.

It's late...  I spend every day fighting the forces opposed to change (that will never work here; our core vendor won't work with you, so we can't) and encouraging and helping those that have seen the light (thankfully 60 more hospitals last year).  I wish I could imagine the day that calling to schedule an appt is the exception, rather than the expectation.  I dream about the day the fax machine will disappear (how many other industries use a fax machine like healthcare?).  For now, I'll bring my smartphone for my next visit to a hospital so that I have something to do while I wait to speak to a registration person (how many hospitals really have a kiosk integrated to their registration system?  Don't say NCR...)

Have a good night,

Hans

Hans Morefield January 21, 2010 9:48 PM

Ed,

As usual, you're right on the money with your thoughts on "Going Mobile".  We've experienced a transformation in being able to access information "any time... any where".  It's been more than just a shift in being able to access information, but it has transformed how we experience the world around us.  In hospitals, it has created more informed patients and it is shifting the responsibility in patients taking more ownership in their care.

I, for one, believe that "Going Mobile" is going to be an even more significant shift in expectations and experience.  Not only are we going to be able to streamline processes and change how care is delivered, but the expectations of patients and their families are going to explode.  An extreme example, patients' "rights to access their records" could create situations where a patient gained access to their lab results before their care team.  (I pray we're never faced with that scenario, but it's not beyond conception with changes happening at light speed.)  

My point is that the demands that are going to be placed on the care teams means we, as IT professionals, must be ahead of the curve.  You already know this, as do most of your readers, I'm sure.  I predict we will face a whole new set of dynamics that will force us to change how we we support our end users and how we administer our applications.  

Add to that the convergence of IT, biomedical, & telecommunications issues and we're going to have a fun & rewarding few years ahead of us.  What a great time to be in the field that we're in!  Thank you for bring these issues to the forefront in your blog. :)

Caston Thomas December 31, 2009 5:47 PM

Interesting to note how things sometimes come full-circle.

The music of The Who apparently strikes a chord with a broad demographic. The group will be the featured act at halftime of the Super Bowl in February.

Frank Irving, , Editor ADVANCE for Health Information Executives December 16, 2009 1:26 PM
King of Prussia PA

Agreed. With mobile devices advancing to real browsers (versus Windows Mobile like my old HTC had) adoption from healthcare is sure to follow.  Adoption though, with any advancement in technology, can be slow if the benefits are not crystal clear.  In this case I feel and hope that they are.  My company, Avantas, has developed a staff scheduling application that has full functionality on my Droid and my coworker’s iPhone.  Just one example in addition to the number of possibilities you mentioned, EMR, patient registration, etc.  Nice post. Thanks!

Scott, Healthcare - Communications Specialist December 4, 2009 2:50 PM
Omaha NE

Great blog! You are absolutely correct! Healthcare will have to innovate to mobile devices in order for it to survive. The days of file cabinets are long gone!

again.. great job uncle eduardo! :)

Josh Wehe December 1, 2009 7:37 PM
Alamosa CO

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