Interoperability

The military health system is challenged to keep medical data intact as a wounded warfighter moves through a system that can’t transmit it. Now new technologies are bringing bandwidth to frontline treatment.

A new generation of medical sensors will enable real-time collection of health data from warfighters, even in the most volatile threat situations.

The Office of the National Coordinator for Health IT found that the majority of centers used a combination of electronic and paper methods to manage client health information in 2017.

To treat U.S. warfighters effectively, the military health system must integrate medical data that’s been siloed in out-of-date systems — and do it in situations where bandwidth is scarce. 

Research conducted last year by consulting company Roland Berger predicts that the German digital health market volume will grow exponentially in coming years. The sector could well be worth €38 billion by 2025, said Julia Pietsch, digital health expert at Germany Trade & Invest (GTAI). GTAI is the economic development agency for the Federal Republic of Germany that recently hosted a webinar, 'International Market Insights: Germany – Digital Care Act, Market Trends & Opportunities', that also included Julia Hagen, director of regulation and politics at the German Ministry of Health’s health innovation hub.  Legislative changes made in the recent Digital Care Act have made digital health applications (so-called DIGAs) an enticing market, Pietsch added. Several experts also pointed out that with the largest elderly population in Europe and the second largest in the world – and high numbers of people with chronic and multiple diseases needing home and/or inpatient care – Germany has needed creative health tech solutions. FAST TRACK TO MARKET The Digital Care Act establishes “a completely new framework” that enables doctors to prescribe medical apps and other applications, paid for by public health insurance, said Hagen, while It also fast tracked applications into standard care. Doctors in Germany are set to prescribe the first digital health applications, Hagen explained, with patients likely to benefit as early as this August or September. Apps may also be prescribed to patients when they are discharged from hospital. Hagen also mentioned an innovation fund set up in Germany in 2016 to support new and innovative methods of care and care research projects not yet part of standard or statutory care. The initiative, she said, was due to be extended until 2024, with €200 million available per year. “Health insurance companies can support need-based and patient-oriented development of digital innovation,” explained Pietsch, underscoring the business opportunities entailed for health tech innovators. EASIER ACCESS TO RESEARCH DATA The new legislation, Pietsch added, meant not only that every insured member in Germany would have access to an electronic health record by 2021 (a high proportion of the population since Germany has mandatory health insurance), but that teleconsultations would also be encouraged. Moreover, researchers would have better access to patient data. “With the Act, public health insurance companies will have to send anonymised member demographics and health data to a central database, and research organisations and universities can then request that data for research purposes,” Pietsch said. Find out more in the full recording of the webinar, available here.

The post-acute care group won back time it could spend with patients and saved $300,000 through interoperability.

After 15 years as a health IT innovation leader, the nonprofit MAeHC will be winding down operations in 2020, with many of its assets transferred to other like-minded organizations.

As new distributed ledger platforms have emerged, the tech has shown promise for the security of COVID-19 contact tracing, and so has the potential for data siloing.

Deep Dive: Although compliance deadlines for interoperability rules have been delayed, recent days highlight the pressing need for greater access to health data.

The collaboration with Health Care Service Corporation, billed as Epic's first such project with a payer organization, will help health plans more easily review data for managing claims and prior authorization.