It’s amazing how many companies forget trust when it comes to platforms, networks and user data, but it is fundamental. Facebook and Google may use my data, but the value is so high we tend to forgive and try to forget what’s happening, or tend not to dwell on it at least. I’m not so cavalier with my health data. We all weigh perceived risks and consequences, often attempting to keep the perceived risk low in our mind’s eye, but that’s more difficult with health data, and requires a deeper commitment to trust.
As we move toward digital health and digital payments, the relationships between spending, environment, and other health determinants are becoming clearer, including the choices we make at any moment. Things that influence behavioral choices are often the social determinants of health, the cultural and economic contexts (including geography) of our day-to-day decisions.
The Global Center for Health Innovation opened for business last October in Cleveland, Ohio, but will officially open to the general public this October. The futuristic glass structure, designed by LMN Architects of Seattle, comprises four floors and 235,000 square feet of space. The Global Center is adjacent to Cleveland’s new underground Convention Center, also designed by LMN. Jointly, they hope to attract more healthcare-themed conferences and exhibits to Cleveland.
Engaged patients have better outcomes and cost less to care for. How do we get patients who are not engaged to become more participatory?
According to The Medical Group Management Association, about three percent of primary care physician pay and 2.31 percent of specialty physician was tied to patient satisfaction in 2013. That’s a relatively small portion but as provider compensation continues to shift from fee-for-service to reimbursement models based on outcomes, patient satisfaction will no doubt factor more heavily. As more providers jump onto the patient satisfaction survey bandwagon, satisfaction survey fatigue may rise to an all-time high. The exception, of course, will be unhappy patients, since disgruntled consumers tend make time to voice their complaints.
If you must pick one area to focus on, focus on patient-centered care over patient satisfaction. Perhaps it’s because I have always worked in the clinical setting that I believe good clinical care can trump, or at least balance, parts of an experience that are less satisfying. Healthy patients equal happy patients and I feel they, like me, would be more willing to compartmentalize different aspects of the care experience. Because they are treated like individuals and listened to by their clinicians, they’ll be less likely to give an overall poor satisfaction score if something, like scheduling, goes amiss. And let’s not forget that despite how health care has changed over the years, good health outcomes are really what it is all about.
What are health systems doing with purchasing information provided by patients? Some are placing it into a system that takes the data and assigns risk scores to patients. If your consumer activity points to unhealthy behaviors, you earn a higher risk score and perhaps a phone call from your physician or a nurse. Is this the right approach to encourage healthy behaviors? Jennifer Thew explores this classic encouragement vs punishment approach.
Google’s a la carte approach focuses more on personal daily workflow models and integrating everyday tasks into a common platform to help establish trends that can provide actionable insights. The GoogleFit SDK will allow data from user-chosen health, fitness and wellness devices to play nice with a variety of Android devices and platforms, curating all user data in one place, in one app, of the user’s choice.
For all our technological advances, getting a man to see his doctor is still a big challenge. Men are 24% less likely to go to the doctor than women. Two creative urologists are using an interest in future tech and cool cars to fuel a greater interest in men’s health. The pair recently completed the first “Drive for Men’s Health”, and plan to grow awareness by making the drive an annual event.
I admit I was skeptical when I first heard about the patient satisfaction component to Medicare reimbursement that was part of the Affordable Care Act. I still am a bit. I definitely think patients should be satisfied with their experiences and get the best care they can get, but I’ve often felt like institutional attempts to make patients happy are attempts to cover up for poor patient care.