Taking the reins from marketing and digital teams, CMIOs and CIOs will design the next phase of digital innovation
I expect that CMIOs and CIOs will navigate digital healthcare business along two distinct courses. One path involves the digitalization of healthcare management, particularly administrative and financial aspects like accounting, scheduling, follow-up care, and supply chain management. The other path encompasses the digitalization of clinical capabilities. The greatest business advantage occurs when these two paths create value at the intersection of e-commerce and digital care delivery.
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The industry will come to concede that present-day EHR systems are not adequate and will plug in useful add-ons to solve complex problems
Even though the adoption rate is now above 95 percent in hospitals eligible for the Medicare and Medicaid EHR incentive program, the usefulness of EHR data is limited by the amount of time spent creating and updating records, and the lingering problem of unstructured—and thus less useful—data that was imported from old EHRs into new ones.
In my view, what’s needed is already moving from the development pipeline into the market: a usability revolution that returns patient care to the center of the EHR's function.
Social determinants and behavioral health will take center stage to enable a holistic wellbeing program for patients
The current corporate model of wellness programs spans a spectrum from education programs, to on-site fitness facilities, incentive programs, and wellness initiatives developed with Human Resources as components of overall health and benefits programs. In the 2014 SHRM Survey of Strategic Benefits - Wellness Initiatives, 76 percent of surveyed companies had some form of wellness programs or resources. Among those, two-thirds offered some form of incentive or reward program. Now, and in the immediate future, the combination of an evidence-based, predictive, and proactive approach to wellness management (with wellness decisions adopted and acted on by employees) can form the foundation of an effective, personalized health platform.
Big Pharma will be a political talking point, but the focus will be on genetic precision drugs
The cost of prescription medications has attracted a lot of negative attention, along with attempts to legislate against opportunistic price increases, and political debates on the role of government in negotiating prescription prices. In 2020, while we will continue to hear all the noise, don’t expect any real change given the political uncertainty of the election year.
On the other hand, impact will be seen through drugs that target disease at the molecular level while minimizing off-target side effects. Pharmacogenomics could cure diseases with a significant level of precision. I look for this transformation to forge a new hierarchy of firms in the pharmaceutical industry.
Payor-Provider collaboration will deepen, with Payors taking on a larger role in clinical intervention
As healthcare systems move toward value-based care, collaboration between payors and providers should increase. Today, the delays, costs, and health consequences of service denial places payors and providers at odds, and leaves the patient stranded between them. A collaborative approach will move the focus from post-service, to pre-service or at-service, reducing denials. Payors and providers will work together to deploy technology, workflow tools, and analytics that encourage information sharing, to accelerate and empower good clinical intervention and decision-making.
I look forward to an era where patients truly embrace prevention, and willingly devote time, energy, and money to getting and staying healthy.
That’s it – my list of 2020 predictions in health and healthcare IT. Let’s make a plan to check back next year to see what has been accomplished and discuss the next waves of progress.
Puneet Maheshwari is a co-founder and the CEO of DocASAP, the most advanced patient access and engagement platform for health systems, health plans and physician groups. As CEO, Maheshwari spearheads the company’s strategic direction and vision, while managing industry partnerships to drive and advance its intelligent enterprise-grade technology. With a deep understanding of healthcare’s complex infrastructure and processes across payors and providers, Maheshwari founded DocASAP in 2012 on a mission to streamline patients’ access to care by navigating them to the right provider and care setting at the right time.