2020 Top 10 Recap – Tuesday Newsday

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Bill Russell

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December 22, 2020: This year did not unfold the way we anticipated.

Watch as Bill, and sometimes Drex, breakdown health IT news and Covid-19 begins, surges, and continues. Look back on our predictions — some very accurate and others … not so much — and remember the progress we made as an industry.

From scaling telehealth, to adapting new regulations, to a boom in digital transformation, let’s recap what went on and how we got here. 

Join in the conversation and let us know what you think on Twitter and LinkedIn by using #ThisYearInHealthIT

The countdown:

2020 Top 10 Recap – Tuesday Newsday

Episode 344: Transcript – December 22, 2020

This transcription is provided by artificial intelligence. We believe in technology but understand that even the smartest robots can sometimes get speech recognition wrong.

[00:00:00] Bill Russell: [00:00:00] Welcome to this week in health IT. It’s News Day. This is our last episode of the year. It’s actually I would call it a top 10 countdown, but that’s kind of self-serving to, these are the top 10 things that I said on the show. So let’s just call it a recap, a recap of what happened this year. Clearly, COVID was top of mind, but we have a bunch of clips from earlier, and this will give you an idea of some of the, we were talking about ahead of [00:00:30] time and how things transpired as a result of that. this is going to be one of three episodes that we do that, do a count on we’re going to do this. We’re gonna do a COVID series a, which is the top 10 things that were shared during the, the three months that we did daily episodes with health systems, sharing their best practices.

[00:00:47] And then we’re going to do the, the flat-out top 10 countdown of the most listened to podcasts for 2021, again, a, a coveted award to be number one last year. it [00:01:00] was BJ more from Providence this year. We have a new winner, but I’m not going to tell you who it is just yet. my name is Bill Russell, former healthcare CIO, CEO, coach consultant creator of this week in health IT. As we get to the end of the year, I really want to call out our channel sponsors. And, these are the people who have stepped up in a big way. VMware was our first channel sponsor and, they took a risk on the show. At that point, we had no sponsors and they said we really believe in your mission and we appreciate [00:01:30] their support.

[00:01:31] They will be a sponsor again next year. So looking forward to that as well. Starbridge Advisers, David Muntz and Sue Schades company, and all the great work that they do do. And I appreciate them coming on the shows as well to share their wisdom. And Sue will be a contributor next year on a, every six weeks on the news day show. So looking forward to that as well.

[00:01:52] Galen Healthcare. Doing great work around data and application consolidation. Health Lyrics is my company.  Siriuus Healthcare. We [00:02:00] talk about Sirius a lot. They were huge this year just in terms of their commitment to stepping up during the COVID series, they called me up and said, look, we believe in your show, we believe in what you’re doing. How can we support, the mission and what you’re doing? And, we created a unique sponsorship just for them. And then they have stepped up since then to be a channel sponsor. They’re going to sponsor again next year, really looking forward to having them on board.

[00:02:26] Pro talent advisors, really exciting. It’s [00:02:30] a startup company that is doing staffing. And, some really interesting things contractually in supporting the, organizations that, really across the nation in terms of a large healthcare projects, ERP implementations,  just a bunch of different stuff. I love working with them. 

[00:02:47] HealthNXT part of HCI. This is, Ed marks. The work that ed marks is doing around a digital platform, to support all of your digital initiatives. So instead of building silos, you’re going to bring it all into a [00:03:00] common platform so that you can orchestrate. Experiences across the entire health system.

[00:03:05] McAfee and Hill-Rom were the, latest people to, latest companies to, join us and to become a part of our mission. And we appreciate them. You’re going to be, hearing a lot more about Hill-Rom. They have stepped up to be a sponsor again next year. And I’m looking forward to breaking some of the myths that you have about Hill-Rom. They’re not just a bed company. They are a digital company. They’re doing a lot of really exciting stuff around communication. a [00:03:30] nurse call all the way through a communication into the room and you name it. They’re there, they’re doing some fun stuff and I’m looking forward to talking to them in the new year.

[00:03:39] And none of this would be possible without them. And I really appreciate them. All right, let’s get to the news. So, we have, 10 clips that we’ve hand-selected that the team has hand selected, that we are going to run through for the year. The first is on AI. And, we were, I mean, it was being predicted at earlier in this year that this was going to be the year that AI really had a [00:04:00] breakout. And, some of these things that were predictions really were stifled by COVID but this one was not, AI took a hugely forward. You had the, protein folding thing that just happened recently, with, deep mind. That’s a huge step forward, just having a 50 year old problem. you also had, just a ton of things happening around automation, right?

[00:04:22] And using AI for automation, you also had AI in chatbots and other things that were [00:04:30] utilized during the, during the pandemic. So, let’s our first clip around AI. Here you go. 

[00:04:35] I talked about it on the show and I firmly believe AI in the form of robotic process, automation will become more appreciated and useful as a tool in healthcare administration.

[00:04:44] I think this is already happening and will continue to happen. This was one of my predictions for the year. Number, the next one, conversational AI will be increasingly more common and sophisticated in the healthcare. Absolutely. We’re seeing that. And we’ve talked about that a bunch on the show. There will be [00:05:00] less hype about deep learning and its ability to predict with superior results. The more and more focus on patient outcome and behavior. I think that’s true too. You’re going to see this. really applied to the patient and impacting their behavior. Cause when you think about it, if you can’t keep somebody from eating McDonald’s every day, it’s going to be hard to keep them healthy.

[00:05:19] And so there’s whole bunch of places that AI can be applied that is not as intrusive and. Have as many barriers to it. Next one, there’ll be [00:05:30] more application of AI in altered reality, virtual reality, augmented reality and mixed reality. I’d love to talk to him about that some more and understand that a certain circuit surgical and procedure based subspecialties will incorporate image interpretation and deep learning more during procedures.

[00:05:45] Also fascinating important issues in AI, in medicine, such as bias and inequity and particularly data privacy will be even more in the forefront. Absolutely. We’re going to end up talking about privacy and security a bunch this year. I have a feeling [00:06:00] and regulatory policies regarding AI technology in medicine and healthcare will start to reflect the exponential rise of AI capabilities.

[00:06:09] All right. So here’s my take. If you’re a leader in health, it get in front of this, get your people trained. Be the most knowledgeable person in the room on this topic. Get in front of the ethics issues, set up governance. If you are large enough with enough adoption, this is, this is, a top of mind conversation. This is the, this is probably one of them, the top [00:06:30] conversations over the next five years. Top of agenda. It’s this is going to be one of the forefront conversations for the foreseeable future. And so my comment on this is get ahead of the curve as much as you possibly can get ahead of the curve. 

[00:06:47] We have to go back to, early in the year and look at some of the predictions that were, that were coming down. And so our next clip is really, touches on some of those predictions. And again, some of them [00:07:00] have really been accelerated as a result of the pandemic. Some of them have slowed down as a result of the pandemic. So we’ll, let’s have a listen to this clip and we’ll decide for ourselves which ones have moved forward rapidly. 

[00:07:14] And affordability of volume-based and facility centric care delivery models. We will see a return to house calls and explicit growth in home-based care models. 2020 we’ll likely see health plans, technology companies, and retail entering home-based care in earnest all with a [00:07:30] desire to reinvent care delivery. Now, some of these have a bent of, of course, somebody from the payer is going to say this, but I think this is really a real trend.

[00:07:40] That is going to happen. And really it’s about time is finally going out of the hospital itself. And I think we would all agree. It’s about time. It’s very expensive and there’s a certain amount of risk to it. Clinics of all shapes and sizes are popping up across the landscape. Some are run by health systems. [00:08:00] Some are actually they’re being run by a lot of different things. They’re being run by employers being run by venture backed groups. Some retailers, a Walmart obviously is, is getting into that Amazon care. Amazon’s running, that’s an employer back employer program. It’s a lower cost venue and it’s really becoming the preferred choice of, of many.

[00:08:25] But I agree with him that this is just a stepping stone to some more bold, bold [00:08:30] moves in tele-health and home-based care models. Yeah, I think this one’s going to accelerate a little bit. You always have to look at the financial models and where it makes sense, because that really will determine the speed at which something moves.

[00:08:45] But this is a, this is gaining some traction and it’s a, a way for a new entrance to compete. And so keep an eye on that. So a lot of predictions around telehealth, but quite frankly, we could go back to 20. 14 [00:09:00] to just replay the same, the same predictions, 14, 15, 16, 17, 18, 19. And now in 2020, we’re saying, Hey, tele-health is going to set a new standard for care out there.

[00:09:12] I’m not, I’m not knocking anybody. Who’s, who’s making this prediction. I would love this prediction to be true. And I think it will make some serious progress in certain areas. Within healthcare. 

[00:09:22] All right. This is the first of two clips. The next one, which one is this? This is number, number [00:09:30] seven, actually the number seven clip. There was a lot of talk about interoperability. interoperability is still key. We can’t do so many things because of interoperability. We’re having trouble tracking the vaccine because of interoperability. we’re having trouble doing social determinants effectively in our communities because of interoperability.

[00:09:48] We’re having the challenges are endless. And so 21st century cures. decided to really address that. And we required a rule as a result of the 21st century cures act. [00:10:00] the rule was put out, earlier this year and it created a little tussle, a little back and forth on, first of all, what the rule was and, and, APIC had some challenges with it.

[00:10:11] So we talked about that. The first one, actually, these are probably out of order, but, the first one we talk about is, is, some of the challenges that Epic has, with the interoperability rule. And some of the things that they were talking about earlier in the year, here you go. Here’s the next clip.

[00:10:27] I brought these things up, but your [00:10:30] recommendation is essentially put something in place to protect their privacy in, in, the, and make the requirements more solid. it’s I dunno, it’s a, I really wish there was more meat to this. I wish there was a link to another page that would say here’s what we recommend as Epic as the leading EHR provider in this industry, as a patient advocate, we recommend these changes to the rules and these things [00:11:00] be put in place.

[00:11:01] That’s what I would like to see. So my take, the argument’s interesting. To be honest with you. It’s a, it’s an unpopular argument. And I think it’s an unpopular argument because it appears to be protecting monopolistic practices of the HR providers. It’s just the appearance of it. And the other side seems to be being the patient advocate saying, Hey, shouldn’t the patient have their own data.

[00:11:27] Should there be transparency? And so that’s [00:11:30] just from sheer. It’s always going to look better. Let me tell you how this is going to play out. So, if it gets approved the way it is, the biggest winner is going to be Apple and Google. Google. Let me tell you why they will become the security mechanism for health records.

[00:11:46] The API will open up the data from the EHR providers and they will bring it into their phone apps. They will bring it into Apple health and Google health record. I don’t know what the Google one is called, but essentially Google [00:12:00] South record Apple’s health record. And because that’s going to be the mechanism, that’s gonna be the platform we all bring it into.

[00:12:05] So they’re going to be the big winners health systems are then going to, really be forced to put things into place that allow people to come in with their phone. That has their complete medical record stored by Apple, stored by Google and give them the ability to give them the record and give the record back to them when they checked.

[00:12:26] All right, before we get to our next interoperability one, the [00:12:30] next clip actually is from a friend of the show. Ed Marks. And Ed made some predictions. I predict I’m not sure if predictions is the right word. He made some comments, had some commentary around why digital lags in healthcare. And, it was interesting because it was probably pretty pressured for him to talk about this because, digital became, not a nice to have. During the era of the pandemic, it became a mustache during the era of the pandemic. So, [00:13:00] here’s a few comments from a story that had digital healthcare lags. 

[00:13:04] This is Ed marks, former CIO of the Cleveland clinic and a frequent guest on the show. Ed wrote this on LinkedIn. So if you want to find this article, go to LinkedIn and find his profile and pull it up. So he gives 10 reasons why digital healthcare lags. I love it. It’s really good thinking. So it leadership, he says, gulp, this is me, my circle, my friends, we unintentionally became inbred. We believed that to be effective. Our workforce [00:13:30] had to possess healthcare experience. We are special, unique. Balderdash we stifled innovation that comes from hiring from outside ourselves to include progressive industries.

[00:13:39] We insisted everyone have 10 years of this or that in healthcare works. We specify technical degrees. The best teams have a mix of degrees and experience in and outside of healthcare. We can fix this. All right. So he goes on 10 more of these. I’m going to get a touch on some of them. I’m not going to read all of them, people development.

[00:13:55] We stopped growing our teams. Once they left orientation. Great point finance. He [00:14:00] talks about old practices and how we have this return on investment metric and these governance structures, but digital changes things it’s marked by agility, velocity return on experience, but we still employ the old methods, supply chain, he talks about operations. we desire digital technology adoptions, such as virtual care, but struggled to evolve because of tradition and cannibalization fears. There’s a fear of use cases for emergency departments to adopt virtual care, but resist because of potential revenue, loss, [00:14:30] or ed patient volume decreases.

[00:14:32] And this is all true clinics. Digital is so synonymous with transparency, simplicity, service, and automation. Bottom line, the experience USAA Marriott, American airlines. No more. about me and my family. then my hair health care system, it is easy to communicate through multiple channels, easy to make appointments, easy to interact, easy to share information, easy, easy, easy.

[00:14:54] We can fix this. He talks about fear. A fear of failure. When people have said fail fast [00:15:00] is what they do. And then, and then healthcare says, Hey, we can’t fail fast. We’re talking about people’s lives. And he talks about failing, safe, utilizing the technology in areas where it’s not going to impact patient care, but you can see how it impacts the overall environment and then slowly adopted in other areas, but failing safe, but still failing.

[00:15:18] All right. As I promised, we’re going to get back to the, to the comments around interoperability. this one, I just, I laid out what the, what CMS was actually proposing, [00:15:30] instead of API APIs they’re, proposing, pulling in some, payer data. Well, actually I’m going to ruin the clip. Here’s the clip that talks about what CMS was actually proposing in the inter-operability rule. 

[00:15:41] Letter written CMS. So let’s see, let me hit their website real quick. Okay. Here we go. All right. So this is what’s on the CMS website. CMS advanced is interoperability and patient access to health data through new proposals. This is February 11th, 2019, and we covered this in [00:16:00] detail last year on the show. We also did a whole episode on interoperability. You can check that out as well. Here’s what administrator Seema Verma said it in this. In this frequently asked questions, type thing, far too long, electronic health information.

[00:16:15] That’s been stuck in silos and inaccessible for healthcare consumers, that CMS administrator SEMA, Vermont, our proposals help break down existing barriers to important data exchanges needed to empower patients by giving them access to their health data, touching all aspects of [00:16:30] healthcare from patients to providers, to payers and researchers, our work leverages.

[00:16:34] Densified technology and standards to spark new opportunities for industry and researchers while improving healthcare quality. For all Americans, we ask that members of the healthcare system join forces to provide patients with safe, secure access to the control over their healthcare data. Okay, here are the proposed changes.

[00:16:53] Number one, patient access through APIs applicant, which are application program programming interfaces. This is how [00:17:00] innovators and Silicon Valley types get access to the patient data, the health information exchange and care coordination across payers. So they started to include payers in this whole mix, which is an important dataset that in some cases goes untapped.

[00:17:13] At least you don’t bring these two together, very easily API access to publish provider data. Provider directory data again, another important dataset care coordination through trusted exchange framework, improving the dual eligible experience by increasing frequency of federal state [00:17:30] data exchanges, public reporting, and prevention of information.

[00:17:33] Blocking provider digital contact information provisions to conditions of participation for hospitals and critical access hospitals and advancing interoperability in innovation models. 

[00:17:47] All right. This next clip is interesting because it starts with me being wrong. So, but we pulled it out because it was a, it was a big story. I mean, we didn’t go to him this year and Drex did a show just prior to HIMSS and [00:18:00] this was right at the time where we didn’t know people still had their, their flights. They still were planning to go. Some people were actually, I think, already in Orlando, trying to get set and I mean, it really came down to the wire.

[00:18:12] And so he, and I sort of talked about it and got to remember when this was, when this was recorded. We had no idea if they were going to cancel or not. We didn’t think it was a great idea to have it, but, but we weren’t, we weren’t sure what was going to happen. So here, listen to this whole thing.

[00:18:28] HIMSS’s cannot do this [00:18:30] conference and survive financially. I think they would have, there would be a significant. Well, actually the organization, they would have to do major cuts and change things. And it would, the other thing is if you take away a major revenue source showcases all the other areas where they’re not making the money that they thought they were making.

[00:18:47] So it would, it would cause a major restructuring. I think the responsible thing would have been to. To pull out if they could and reschedule for the fall, try to do [00:19:00] a fall or some aspect of, and I realized the logistics, I’m sure smart people sat in a room and trying to figure this out and logistics around that are probably just, just incredible to even contemplate.

[00:19:12] Drex DeFord: [00:19:12] Yeah, no, I’m sure. You’re right. I’m sure there was a lot of discussions and a lot o  pre-planning to figure out what would be the options, how would they do it? If they decided to cancel the conference and do something different, what would they do? A lot of this kind of gets downto [00:19:30] the, when you talk about hospitals and house systems and vendors and others doing these kinds of, they’re not really incident response type exercises, but they’re that kind of saying where you are, where you always have a backup plan, especially for major things that happen with your company or with your health system, 

[00:19:48] How would we do X without Y? But what happens if we have to stop doing that for some period of time and how do we work under those conditions? How do we operate under [00:20:00] those conditions? If you haven’t thought through it? In the heat of the battle is not the time to think through it because you will always default to the easiest path, which is sometimes the wrong one. And we’ll see how this works out for him. 

[00:20:14] Bill Russell: [00:20:14] We saw SARS.  We saw Ebola. We’re now seeing a coronavirus. I think this is the new norm. I think this has to be taken into consideration for these conferences and for travel and those kinds of things. 

[00:20:27] Yeah. So one of the things we obviously, we had Drex [00:20:30] DeFord on as to go back and forth. on the show, but one of the things we did is Drex was kind enough to step in one of the weeks. I couldn’t do the show and he did the Newsday show by himself. And I really appreciate that. He, did a story of, I think it was from Politico, where it was a tele-health, advancements deferred. And, he sorta, addressed. some of the, some of the, challenges that [00:21:00] were, were being faced.

[00:21:01] The telehealth was interesting this year. I mean, I clearly we saw an explosion, but we also saw a lot of regression towards the end of the year. Now it didn’t go back to where it was prior to. the pandemic, but it, it did regress a fair amount. So, have a listen to this clip where, Drex talks about telehealth. 

[00:21:19] Drex DeFord: [00:21:19] Articles that I’m bringing this week is from Politico. And it’s a titled telemedicine revolution deferred and I think Bill talked a lot [00:21:30] about numbers last week that were pretty, pretty insightful. The idea that we’ve got, we’ve taken telemedicine from like a few thousand visits a week to like over a million visits a week. But what the article here. Talks about is that we’re starting to see those curves flex down now. So telemedicine fewer and fewer visits over time. And I think it’s logical, right? There were a bunch of basically other care that we may have put off during the early stages of the pandemic so that we could [00:22:00] create capacity and create more bed space and do other things to make sure we can take care of COVID patients that meant we pushed more and more things either off the plate.

[00:22:09] Postponed them not going to do them now, or we push them to telemedicine telehealth visits. So there’s logic to the idea that telehealth telehealth visits are going to fall off. I don’t think that’s really a big deal or a big surprise. So when you read articles like this, my point being don’t be dismayed, don’t be disappointed.

[00:22:27] I think an amazing thing [00:22:30] happened. At the beginning of the, of the pandemic and telemedicine really became medicine. And I think we’re going to continue to see telemedicine, telehealth, expand and grow in ways that we really haven’t thought of up till now, home care, home monitoring, lots of other stuff that we’re just starting to.

[00:22:48] Get our arms around that. I think it’s going to be pretty interesting to see where this goes and, and how it continues to grow and expand. Don’t be frustrated. Okay. There’s a lot of folks who are probably [00:23:00] saying, or thinking that we’re going to have to back off on telemedicine. It’s just not going to hold up.

[00:23:06] I think no matter where this goes, as we move into future healthcare, whether it’s at risk, healthcare valuables, value-based healthcare, the digital front door, patients and families. Want tele-health they want telemedicine and we’re going to have to give it to them. So state of course, keep on the path that you’re on because I think it’s, it’s really a good [00:23:30] one.

[00:23:30] Bill Russell: [00:23:30] All right. So, one of the shows that we did. And this is the number two clip here is, I shared my 72 hour healthcare journey and it was with my father-in-law. We took him to the hospital. He had some, some challenges and, It was interesting. We had some significant, interoperability challenges, the medical record didn’t follow, it just a whole host of things.

[00:23:57] So I decided to, we have this [00:24:00] platform it’s relevant to what we do, and I wanted to, get it out there. It’s interesting because this more than any other story I did this year generated an awful lot of email, a lot awful lot of back and forth. I had people call me up and explain. how Epic’s interoperability worked, why it didn’t work in this case, how it could work.

[00:24:20] I actually talked to the health systems, the CEOs and the various technology leaders at, the health systems I’m talking about. And, we [00:24:30] worked through why this did not work effectively. the good news is great professionals. Everybody wants to get this right. The bad news is, I don’t think this is an isolated story. I don’t think my story was isolated. So I decided to share it, get it out there, get it into the, the cannon of the show, so that we could talk about it a little bit more. So here’s a, here’s a little rundown of the things we learned, during that 72 hour journey with my father. 

[00:24:53] 72 hour healthcare story. Here’s what I learned. Not all Epic implementations are the same training is [00:25:00] critical. I. I had forgotten how valuable the experience of walking in the patient’s shoes is. And as a CIO, I got the chance to experience things that as a civilian, if you will, I don’t get to experience as much. And I welcome that.

[00:25:15] It was, again, it was great. Yeah. Experience for me. I want to, I will really drive this point. Home interoperability should have the patient as the locus of data and as the, as the locus of movement [00:25:30] of that data. And my point on this as always the patient is the only constant at the point of care, Epic isn’t Cerner isn’t Meditech isn’t each point of care could have a different EHR.

[00:25:44] Each point of care can have a different physician. Each point of care, you name it. The only constant at the point of care is the patient. I think the patient needs to be the locus of the data movement. Other things I learned duplicate tests are prevalent. Clinicians need to listen to the [00:26:00] caregiver, the primary care giver when they make requests.

[00:26:03] And one of my personal parts of my personal mission statement is that healthcare suffers because health it is lagging. It isn’t the only reason for sure, but it is a primary contributing reason for duplicate tests, poor experience and lack of information at the point of care. Let me tell you how my father-in-law’s visit could have gone with patient-centric interoperability.

[00:26:28] I want to explain this as it could have [00:26:30] gone, so I hopefully will do it as clearly as I can. So record firmly in hand in, on his, in the Apple cloud or wherever it is on his phone. He presents, we pull out his or primary caregiver, my wife’s phone, and which we’ll have the record on it. And we select a handful of things, emergency a few parameters, how long they can have the record, how they can use the record.

[00:26:55] And it generates a barcode. I present that barcode to the hospital we’re checking in at, [00:27:00] and, they scan it and the record goes into their EHR. They view an add to the record during the visit, when it is determined, the transporters required, they download it back to the. To the patient’s phone or cloud solution, whatever it is, they keep the information as required.

[00:27:20] I understand they have to do billing. They have to do, they have to have legal review capabilities, maybe an archive of some kind, and they have to be able to do, some [00:27:30] training and stuff off of it. So we can grant them the rights to use those things. But nothing else. There’s no other way they can use the data except what is dictated by the patient.

[00:27:39] So then my wife presents at the Cerner shop. She pulls out her phone makes the same selections, presents the barcode, even though it’s a Cerner shop, they inherit all the information, including the chest x-ray, which can automatically go into the workflow from the previous location. My father-in-law gets the sleep that he needs because the questions have already [00:28:00] been asked. They just need to verify them. He gets discharged. The entire record comes down to his phone. We moved to Florida in two weeks, which we are and the next health system picks up where the last one left off. 

[00:28:11] Yeah, I want to thank everybody for who sent me notes, who, allowed me to talk to them about that journey. It was really helpful. if you’ve listened to this show to the end of, you’re probably wondering if a pandemic actually happened and it did happen this year. We did not put a ton of this stories in here because we’re going to do a whole COVID series [00:28:30] where we look at what different health systems did.

[00:28:32] So we decided not to, to, inundate you too much with that single news. News story. it’s a lot of news stories, but it single event. So, but the number one story is about, the emergence of digital, the emergency of virtual care. as a result of the pandemic, we took a story from a Paddy Padmanabhan, who is, has also been on the show. And, he was on [00:29:00] with Ed marks. They’ve written a book this year on digital transformation and, he shared a little story on the advancement of virtual care. And, I think it captures. a lot of what we’ve been able to do this year. A lot of what we’ve been asked to do this year of, creating safe environments for care. So have a listen to this clip.

[00:29:18] The virtual care technology trends that will transform healthcare. This is healthcare it news. Patty wrote this article, the Paddy Padmanabhan who does consulting in the [00:29:30] industry. It whose stuff. I, I like you as a podcast as well. It’s with Dame-o consulting. Let’s see, he wrote a handful of things. So I’m just going to pull out. The 2020s are 10 stories in 10, 20 minutes. Three main points. The rise of contactless experiences as is often happens in major catastrophic events, natural or human made many societal practices change irreversibly. The pandemic has made us all afraid to touch any surface exposed to the [00:30:00] public.

[00:30:00] So there’s going to be a rise of contactless experiences. Isn’t first point second one contact racing inspired by the success of Singapore and South Korea. Contact tracing applications on Bluetooth enabled devices have been positioned right. As an effective means to track and trace infections to reduce the spread of COVID-19.

[00:30:16] And his third thing is remote monitoring and automated communication. Healthcare executives are more motivated than ever to keep their populations healthy in their homes. The rise of tele-health and intelligent remote monitoring devices now allow patient [00:30:30] populations to stay at home and manage their chronic care conditions.

[00:30:34] Avoid visits to hospitals and communicate on real-time basis with their caregivers. Here’s the, so what. Absolutely. Yes. On the contact, less experience, I’m starting to experience that I had some furniture delivered. We moved into a new house, we got a new chair and they delivered it. And the whole experience was contact lesson.

[00:30:54] They took a picture in the house of the thing. I didn’t have to sign anything. I didn’t even have [00:31:00] to do the finger thing on somebody’s phone, which has a phone is one of the, just the complete carrier of, of. Germs and viruses. I think that contactless experience is going to be a new thing in our, in our culture.

[00:31:17] The contact tracing, I think is going absolutely nowhere. I think it’s going to be swallowed up in the political abyss. Again, not a technology problem. I think it’s a, it’s an adoption problem. And I think it’s a politics problem. [00:31:30] And I, again, not stating whether we should or should not be doing it. I’m just saying it’s going to get swallowed up.

[00:31:36] We are not South Korea and we are not Singapore. We don’t have. This the same culture. And so I think that’s going to get swallowed up remote monitoring and automated communication. Absolutely. I think we’re going to see that the rise of the home as the new locus for caring for the aged. I think we’re going to see people really try to stay away from going into [00:32:00] long-term care facilities.

[00:32:01] Say at home more. I think you’re going to see chronic patients start to wire up their homes with internet of things, devices, and you’re going to see a whole host of things happen around that. I think that’s the thing to keep an eye on. It’s really going to be interesting. 

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