Tag Archives: information

IoT = Internet of Things


Well, I learned a new acronym last week. Kinda catchy. And makes me chuckle. I’ve focused on wearables quite a bit on this site and talked about integration with the care provider’s systems. But, it seems, there is a whole world of “things” that I may have been leaving out -especially when it comes to cyber security. It’s the “Internet of Things”! And for those in healthcare IT we go even further to say IoMT – Internet of Medical Things.

The Internet of things (IoT) is the inter-networking of physical devices, vehicles (also referred to as “connected devices” and “smart devices“), buildings, and other items embedded with electronics, software, sensors, actuators, and network connectivity which enable these objects to collect and exchange data

The question, in relating it to healthcare apps, is whether this IoT keeps everything secure if only the methods and safeguards around laptops, desktops and the behind the scenes servers are secured. (My post stems from this article on the topic.) It seems that those in the know or working in healthcare IT believe that, yes, they are secure for those reasons. They also report that with the methods of monitoring their networks they can tell when something is “not behaving as intended.”

So let’s flip the situation: If that care provider’s IoT has been compromised and your device (iPhone, iPad, etc) connects to it at the provider’s office could it compromise your device?

Drilling down specifically into the vulnerabilities and security risks of IoMT devices, Beth Musumeci, vice president, cybersecurity at GE Healthcare, said the threat is significant, as connected health devices, by definition, “increase the attack surface.”

Though most health systems have made advancements on the cyber security front those small rural areas who have just been struggling to get internet at their facilities are well behind the ball of the huge health conglomerates. Another aspect is the massive numbers of IoMTs that must be addressed.

Rasu Shrestha, M.D., chief innovation officer at UPMC and executive vice president at UPMC Enterprises:

What’s more, providers are becoming increasingly dependent on Internet-based resources to facilitate patient care, Shrestha said, noting that UPMC has 105,000 connected devices to manage and support. These connected devices, which are connected to networks and the cloud, have the potential to act as a gateway to break into a hospital’s main networks

(take a look at the article here)

By 2020, 78.5 million number of people worldwide will be using home health technologies … By 2019, 87 percent of healthcare facilities will implement IoMT, up 60 percent from this year.

Cyber security, to me, seems to be a swiftly growing “next big thing” in IT. And that doesn’t apply to just the medical arena. It applies to your bank, your home internet, and the nail salon where you might connect to their internet while they paint your toenails pink.

Looks like we’ve got another topic to follow on here!


You are wearing & using health apps but is your care provider using that info?


As you know I follow the mHealth world from the perspective of the patient. Recently I read an article that gave some data on the use of mHealth apps and what the care provider is doing with it. I was genuinely surprised at the statistics. The article  (patient wearable data use) states that while 41% of Americans use the technology only 6% of the care providers were currently using the data from the patient. Working in the healthcare IT field that, as I said, was surprising. While in the field we are starting to use software allowing more patient access to patient’s information it seems we are slow to the start. Another statistic that surprised me was that 29% had no intention of using the data.

A while back, I contributed a blog post that spoke of the use of mHealth data affecting who we choose as care providers – perhaps we want to utilize care providers that are actually using our data and with whom we can see the information from our visits to take more proactive steps in managing our health. Following that train of thought does this mean that the utilization of your data (well, maybe your data) is 94% just not happening?

Another article noted that only 17 percent of consumers perceive health-related industries as being most innovative today. And that “Even in today’s modern world, people think that healthcare innovation will help physicians better treat patients most,” Keith Liu, Klick senior vice president of products and innovation said in a statement. “This suggests that, when it comes to healthcare, people still want a human connection, empathy, and other benefits that can only be obtained through the patient-physician experience.”

So we, as patients, want to see our data, often a constant effort to collect by the patient, and the care providers data and notes but we do still want that care provider to use the information in a face-to-face/human interaction and view that as an optimal care scenario.

Do you use health apps? Does your care provider use your data? And how important are the two factors – use of data and transparency of data and/or human interaction – to you?

 


An Apple a day…


…will keep the doctors informed.

So maybe you haven’t been in the hospital ever or in years or even this year (we’re only a quarter-ish into the new year)… but now you just might see how an Apple might be just what the doctor ordered.

If you are already wearing that Apple Watch and happen to make it into the patient bed at Cedars-Sinai then you can synch all your info with the hospital issued iPad and your Apple Watch. That makes for a more complete record of your health and keeps the info where it can be accessed for other care providers or, in the worst of situations, where emergency responders can see it.

Back in early 2015, we heard of the hospitals piloting Apple’s HealthKit – and the big name electronic health record providers jumped in with them. John Hopkins (specifically for epilepsy)  and Ochsner Medical Center in New Orleans have worked with Epic, an electronic health record company, to integrate with the Apple Watch. Ochsner is making the use of the Apple product line to make their innovationOschner (iO) program a stellar role model for the rest of the electronic world of healthcare. I’m, personally, impressed with their program and how they seem to be making it a part of their strategic vision not just for the company but for their patients. Check out this post from last year on Oschner’s program

Yet, in the field we are all aware of the regulations around electronic health records and those devices that work with them are one of the grey areas – one that we, in the healthcare technology field hopes will stay grey!

What have your experiences been with your Apple products and your healthcare providers?

Here is a great interview article with a patient at Cedars Sinai –  and it speaks to the market that Apple is now wading into…


Do you print or view? Information today…


Working in IT (information technology) we are always conscious of printing. We try to avoid it. It is, in our world, similar to being caught using your finger to get some icing off the wedding or birthday cake when no one is looking. (yes, Tisha humor/opinion.)

So how do you get your information? Do you print off directions from MapQuest? or do you send them via text to your smart phone? Or even have that handy navigation system in your car? What about your grocery list? Is it on paper or do you have a handy app on your smart phone or iPad? Do you read paperbacks or use a Kindle/Nook/iPad?

A recent article in HIT Consultant noted the top 20 most insightful infographics of 2012. (infographics = pictures with words and/or information.)

courtesy HealthEd Academy

courtesy HealthEd Academy

 

This particular one seems to give some good statistics on how patients are learning in our age of technology. Healthcare extender I take to mean a healthcare provider. It is interesting that the majority of information given to patients is printed. Yet, when I think about some of the meaningful use requirements, one is to provide patient education upon discharge. So they print the information. Even if they were to give you links to videos or websites they print them on paper. I haven’t seen anyone emailing info rather than printing though that doesn’t mean that it doesn’t happen.

The infographic does point out that the provider (extenders) are getting their information from technology (online) resources. I would say that the majority of those resources are available to the general public, also. Yet there is often so much information available that it is contradictory or confusing for us when we search. There are some information providers that we feel are true and correct resources such as WebMD.

So how do you get information from your healthcare provider? Do you do your own research? If yes, is it before or after you see the provider? or both?


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