Quote Of The Year

Timeless Quotes - Sadly The Late Paul Shetler - "Its not Your Health Record it's a Government Record Of Your Health Information"

or

H. L. Mencken - "For every complex problem there is an answer that is clear, simple, and wrong."

Saturday, May 25, 2019

Weekly Overseas Health IT Links – 25th May, 2019.

Here are a few I came across last week.
Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.
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Harnessing Digital Information to Improve Population Health

May 14, 2019

Health systems do not systematically collect information on social determinants of health (SDH) — the conditions in which people are born, live, grow, and age — despite knowing that they have a big impact on individual and population health. But the shift from reimbursing providers for the volume of services they deliver (fee for service) to the quality of patient outcomes relative to cost (value) is causing them to focus more on maintaining patients health and not just curing disease. This shift is causing providers to start investing in population health management strategies, which require them to better understand the local population and identify unmet needs.
The challenge is that the SDH information that physicians collect from patients and enter into their electronic medical records (EMRs) is pretty limited. Even though 83% of family physicians agree that the Institute of Medicine’s 2014 recommendation that they collect sociodemographic, psychological, and behavioral information from patients and put it into their EMRs, only 20% say they have the time to do so. But alternative means of collecting such information are emerging: smartphones, credit card transactions, and social media.
Smartphones. The Pew Research Center estimates that more than three-fourths of Americans now own smartphones. One example of how these devices could be used to collect SDH information involves the mobile applications that health systems offer to allow patients to easily book appointments or contact medical providers. These apps can also access information on patients’ location, which can be cross-referenced with rich databases like Foursquare’s book of local businesses or city-level heat maps on crime/domestic violence to understand a patient’s experience of his or her neighborhood — e.g., the availability of fresh food via local grocers or bodegas and the ability to exercise outside in relative safety. In a research setting, this type of location sharing has yielded startling insights.
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Patient Intake Survey Tool Advances Population Health Management

The tool will help providers identify patients who might suffer from a complex chronic disease, opening the door for more population health management.
May 16, 2019 - Researchers from the Regenstrief Institute and Indiana University have effectively developed a tool that will help providers identify and track early onset symptoms of complex conditions, opening the door for advanced population health management.
The tool, called SymTrak, is a patient intake survey that looks for a set of symptoms that do not necessarily correlate to a specific chronic condition. Instead, SymTrak developers created the tool to track for symptoms that are tied to various chronic conditions, ideally to point clinicians in the right direction when assessing patients for potential illnesses.
The symptoms SymTrak tests for include pain, fatigue, sleep disturbance, anxiety, and depression.

Friday, May 24, 2019

Maybe We Should Think Very Carefully Before Health Goes All Appy!

This appeared last week:

Consumers want control over privacy online

  • 12:30AM May 14, 2019
Australian consumers are increasingly choosing to be more private on the internet, with a larger number of them opting against sharing their personal details with mobile apps.
With privacy now a hot-button issue globally, the latest instalment of professional services firm Deloitte’s annual Privacy Index study shows that community expectations around the use of their data are starting to harden.
According to Deloitte’s Privacy Index 2019 study, 89 per cent of Australian consumers have denied a mobile app access to their location, photos, camera or contacts. Meanwhile, 63 per cent of the respondents in the study said they had deleted apps due to privacy concerns, and 46 per cent were likely to provide false personal information when engaging with an app.
The trends pose a challenge for businesses as they look to engage with their customers across digital channels. Deloitte’s national privacy and data protection lead David Batch said brands needed to rethink the privacy attributes of their apps. “Key considerations that companies need to take seriously are: ‘what are you doing with my data?’ and ‘how are you protecting my privacy?’,” he said.
“We found significant differences in the maturity of privacy practices across brands and sectors and a growing consumer awareness of privacy, with a strong desire to take control of their data. In addition to nearly half of Australians choosing to provide false information when engaging with an app, another shocking finding was that privacy policies are not accessible in 22 per cent of apps. This means that the basic transparency requirements of privacy law in Australia are not being fully met.”
More here:
There was also coverage here:

Government apps among the least-trusted when it comes to protecting privacy

Trust in privacy practices of government, finance sector drops, 2019 Deloitte Australian Privacy Index reveals
Rohan Pearce (Computerworld) 14 May, 2019 00:01
The 2019 Deloitte Australian Privacy Index reveals that consumers are far less inclined to trust apps produced by governments, financial institutions and the health sector compared to other sectors.
The index is based on a survey of 1000 consumers about the brands they trust the most and the least when it comes to protecting their privacy, as well as a Deloitte analysis of the privacy practices of branded mobile apps (the study only considered iOS apps).
The final index drew on the analysis, the consumer survey, as well as breach and complaints data published by the Office of the Australian Information Commissioner (OAIC).
The IT sector topped the index when it came to consumer trust, followed by real estate, and travel and transport.
Significant distrust for government-produced apps saw the sector come in at eight out 10 in the index — down from third in last year’s index. Finance was second-last at ninth (down from second), and health and fitness rounded out the bottom of the 10 sectors considered by the index (down two places from 2018).
More here:
To me the message from all this is pretty clear. App designers need to do the work and user education on their privacy and security as they make apps available to have people understand fully what, and what not, is shared and with whole.
I note the health sector garnered little confidence!
David.