Take the Fear Out of Patient-Connected Health

Friday, April 23, 2010  | Trisha Torrey


About the Author:  Trisha Torrey, Every Patient's Advocate, and author of You Bet Your Life! The 10 Mistakes Every Patient Makes (How to Fix Them to Get the Health Care You Deserve)


As a patient, I am usually the interloper to conversations among professionals about connected health.  I read and hear about connections among providers, connections to payers, connections established to databases that help diagnose or treat, connections from one doctor’s office to another, even connections from remote areas to more urban, better equipped facilities….

But when I hear the occasional reference to an electronic connection between a doctor and a patient, it’s often met with an “I wish” from the patient, but a more deer-in-the-headlights reaction from the provider.

Unfortunately it seems like “patient-centered” among professionals in the connected health environment too often refers to what is done FOR and TO patients, rather than WITH patients.

When patients think of the word connected, they think of connections to other people. No matter how much access they have to Internet information or even their own health records online, whether that takes place with a computer or a cell phone or an iPad, patients want and need someone with expertise, who they believe cares about their outcomes, to help interpret, analyze, recommend, discuss.  They want and need that personal connection with their doctors. 

Most physicians see connected health with patients quite differently, especially as it applies to e-connections. Their first reaction is often a fear of wasted time. Time they probably can’t get reimbursed for.  Time they are tired of giving away for free.  Time most believe they just don’t have. In a world of decreasing reimbursements and pay-for-procedures, it’s certainly understandable.

Then there’s HIPAA.  Too many doctors invoke HIPAA as their explanation to patients about why they can’t share information through email.  It works, too!  Because most patients don’t realize that HIPAA isn’t a valid excuse. 

My challenge to those with the means and capability of developing all things e- or m- for connected health would be this:  Help physicians see that the more personal connections made through tools like email or instant messaging or texting (how about med-exting?) don’t have to cost them time or money.  Help them see the personal side of connected health as efficient, effective, and both personally and financially rewarding.

Because that’s what patients want.  That connection is what we need to take our medical care into the future, whether those connections are in-person or “e”.  It’s the doctors who are willing to go there WITH us who will be most successful and happiest with their careers.

 

Member Comments


Hi There Trish, very nice post. The reasons that physician's have such troubles with consumer facing services, is that physicians who accept third party payor insurance have third parties as customers NOT patients. I invite you to watch a preview of an upcoming CME series for Primary Care physicians that I'll be doing over the course of 2010 here... http://www.slideshare.net/nataliehodge/innovation-cme-series-for-physicians-3835389

You are right there are multiple physician arguments against... but each is a disguise for the essential problem, which is the very business model of private practice.

I submit that the majority of Health IT products and platforms available to physicians today, restrain the practice of primary care as well as significantly hold back the opportunities for innovation in medical practice. The majority of HIT products cater to the third party payors ( I include medicare and medicaid when I say third party payor), have poor UI for physicians, and run on a LONG feedback loop cycle due to the financial interests of the parties. Said perhaps more bluntly, the suits in healthcare are selling to the suits... without the proper feedback looping from USERS. There are quite a few physician users of HIT out there lamenting this fact.

But I invite you to follow the launch of Dr Jim Joseph's " virtual office" practice in Chicago, which encompasses all of the consumer facing tools that you seek, IM, telemedicine, patient self scheduling, transparent financial transactions, consumer facing PHR as well as convenient house call services. Here is more information on Dr Jim...

http://docs.google.com/View?id=dgn4242d_230ddr9pzf8

There are innovative physicians out there as well as a new generation of primary care physicians who are users of technology and cannot imagine practicing any other way, in a paperless, cloud based platform environment that reduces their overhead by 80% .

I'm be up paneling at ICSI.org next week, then a premier event CME on Innovation for Primary Care, teaching physicians about the importance of innovation, differences between incremental innovation and disruptive innovation, and making the case for the latter. The passage of HC reform has catapulted physicians into a new era of urgency and speeds the demise of the office practice model, particularly those with medicare panels of 20% and up. I look forward to learning from physicians and patients regarding their needs and rapidly deploying the technology changes to unite both.


To Your Best Health,

Natalie Hodge MD FAAP
nhodge@personalmedicine.com
www.personalmedicine.com
@nataliehodge

natalie hodge

Chief Health Officer
PersonalMedicine

 

Posted by: natalie hodge
4/25/2010

 

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