Mobile

Now the question is whether cyber criminals could someday emulate that approach to access encrypted patient data.

Researchers will use the software to crowdsource data that helps physicians better understand how to use fever as a tool to improve medical diagnoses.  

"We believe that mobile devices such as iPhones will become the predominant means by which patients interact with BIDMC," says Beth Israel Deaconess Medical Center CIO John Halamka, MD. "Your phone will be the repository of your medical record."

At the same time that it revealed CareKit, Apple announced that ResearchKit would be updated to more easily make use of genetic data, via a module designed by consumer genetics company 23andMe. Apple also added other modules for common medical tests to ResearchKit. “The response to ResearchKit has been fantastic. Virtually overnight, many ResearchKit studies became the largest in history and researchers are gaining insights and making discoveries that weren’t possible before,” Apple COO Jeff Williams said in a statement. “Medical researchers around the world continue to use iPhone to transform what we know about complex diseases, and with continued support from the open source community, the opportunities for iPhone in medical research are endless.” [Also: Apple unveils CareKit health tracking framework, first app to focus on Parkinson's] "This new technology gives researchers a turnkey way to integrate genetics into their studies,” 23andMe CEO Anne Wojcicki added in another statement. “This will enable research on a much broader scale. Incorporating genetics into a platform with the reach of ResearchKit will accelerate insights into illness and disease even further.” Apple announced three ResearchKit apps that will begin incorporating genetic data, one new app and two existing ones. PPD Act will use genetic data to explore the question of why postpartum depression affects some women and not others. The study will be led by the University of North Carolina School of Medicine and the international Postpartum Depression: Action Towards Causes and Treatment Consortium. The National Institute of Mental Health will provide spit kits to facilitate genetic testing. “There’s so much we still need to learn about postpartum depression and it may be DNA that provides the key to better understanding why some women experience symptoms and others do not,” Dr. Samantha Meltzer-Brody, director of the Perinatal Psychiatry Program at the UNC Center for Women’s Mood Disorders, said in a statement. “With ResearchKit, and now the ability to incorporate genetic data, we’re able to engage women with postpartum depression from a wide geographic and demographic range and can analyze the genomic signature of postpartum depression to help us find more effective treatments.” Stanford's MyHeartCounts app will incorporate data from 23andMe users who are already using the app. The data will help them to study genetic predisposition toward heart conditions and how they interrelate to lifestyle and activity factors. Mount Sinai's Asthma Health app will "use genetic data from 23andMe customers to help researchers better understand ways to personalize asthma treatment," according to Apple. “Collecting this type of information will help researchers determine genomic indicators for specific diseases and conditions,” Mount Sinai Genomics Professor Eric Schadt said in a statement. “Take asthma, for example. ResearchKit is allowing us to study this population more broadly than ever before and through the large amounts of data we’re able to gather from iPhone, we’re understanding how factors like environment, geography and genes influence one’s disease and response to treatment.” [Like Healthcare IT News on Facebook] In addition to genetics, new modules that have been contributed to ResearchKit include a test for tone audiometry; the ability to measure reaction time through delivery of a known stimulus to a known response; an assessment tool for the speed of information processing and working memory; a means to use the mathematical puzzle Tower of Hanoi for cognition studies; and a timed walk test.  The brand new CareKit framework, meanwhile, is designed to enable patients to track their care and to share that health data with physicians and family members. The first two apps focus on Parkinson's Disease and helping patients adhere to pust-surgery care plans.  Twitter: @JonahComstock

COO Jeff Williams said the framework will empower patients and care teams to have more formalized discussions with physicians, beginning with programs for Parkinson’s and post-surgical plans.

Medsphere Systems Corp., whose OpenVista electronic health record is based on the architecture of the Department of Veterans Affairs' VistA EHR, has released a mobile version of the technology called Mobile OpenVista Enterprise, or MOVE. With secure and real-time access to patient data wherever a clinician has Wi-Fi or cellular coverage, officials say MOVE – which includes Medsphere's NoteAssist patient documentation system – allows physicians and nurses to review medication orders and record patient information on the go. [Also: OpenVista EHR maker Medsphere merges with MBS/Net] "Without doubt, healthcare IT is moving toward mobility and enhanced, streamlined processes," said Medsphere President and CEO Irv Lichtenwald in a statement. "Medsphere is excited about moving OpenVista in that same direction." On March 17, Medsphere also announced an expansion of it products and services since its recent mergers with Phoenix Health Systems and MBS/Net. Phoenix Health continues to integrate its infrastructure support and application management skills with Medsphere's offerings. Meanwhile, MBS/Net's technology, such as physician practice management system and ambulatory EHR, are being integrated with OpenVista, officials said. Twitter: @MikeMiliardHITN

A new report from the President’s Council of Advisors on Science and Technology claims technologies such as telehealth and wearable sensors should be put to work to help more elderly Americans stay healthy and connected as they age. The report by PCAST, an advisory group of scientists and engineers appointed by President Barack Obama to make policy recommendations related to technology and science, found these types of technologies can help elderly Americans face challenges tied to social connectivity, emotional health and cognitive and physical ability. "With many Americans wishing to live in their homes and communities for as long as possible, technology such as prosthetics, wearable sensors, and other tools for daily living can make that possible," said PCAST members Christine Cassel and Ed Penhoet. [Also: Mobile apps emerging as essential population health tools] As of 2014, an unprecedented 15 percent of the U.S. population was over the age of 65, according to the Census Bureau, and many of them remain active. Recommendations also include creating better access to the Internet as something essential to health, social engagement and well-being, and offering more education and training for seniors in online technologies. PCAST also suggests greater efforts by technology providers to develop monitoring tools for frail and vulnerable elders. But the report also calls on a federal agencies to make changes. Specifically it pointed to telehealth as something with clear benefits for seniors living remotely or with limited mobility – but said the government needed to update regulation and payment policies to reflect recent innovation in the space. For another example, the Federal Trade Commission should continue to enforce regulatory review and guidelines for commercial cognitive training products, PCAST said. [Like Healthcare IT News on Facebook] And the group called upon an array of federal agencies – from the National Institutes of Health to the Defense Advanced Research Projects Agency, or DARPA – to expand research on projects such as robotics and advanced mobility technology. It also recommended that Centers for Medicare and Medicaid Services payment policies should be adapted to increase seniors' access to those next-generation tools. "Technology has played an important role in increasing life expectancy, but it also has an important role to play in increasing the quality of life by maximizing Americans’ ability to function in their later years," PCAST Chairs John Holdren and Eric Lander wrote in a letter to President Obama. Twitter: @MikeMiliardHITN

The app enables doctors to receive alerts via Apple Watch so if they are waiting on test results about one patient, that physician can know immediately.

While mobile apps are new enough on the care delivery scene that many providers have only begun dabbling, consumers are sending a strong message that forward-thinking hospital executives can translate into an opportunity for improving population health management programs. Northwestern University's Feinberg School of Medicine is conducting clinical trials that use mobile health apps to do much more than just communicate with patients — the software teaches mental health patients cognitive behavioral therapy, or CBT, techniques designed to improve population health and reduce mental healthcare costs. This story is part of a reporting package on the rise of population in health in healthcare IT management. Stories include our analysis of health system strategies, an overview of the work done by Essentia Health and a look at how mobile apps are supporting initiatives. Designed by Northwestern's Center for Behavioral Intervention Technologies, the ThinkFeelDo website (a responsive design site built to render effectively on any device) and the IntelliCare suite of mobile apps (available in the Google Play store for Android devices, with Apple iOS apps in the works) break up the various CBT techniques into separate modules to make learning the techniques and applying them in situations an easier task. The modules include text, animation and video. Caregiver coaches, on the other end of the mobile site and apps, review patient progress and can intervene during lessons to help patients with any challenges or issues and to provide encouragement. "Costs can be saved by giving depressed patients these kinds of tools, decreasing overall health care utilization for an individual," said Kenneth R. Weingardt, scientific director at the Center for Behavioral Intervention Technologies. Weingardt also is a licensed psychologist. "We are now saving more money because the cost of the app is much lower than the cost of face-to-face. For some folks who are fairly well-functioning and can go it alone, these types of technology may provide them with what they need so they do not have a long depressive episode that impacts their health and costs a health plan money." ThinkFeelDo and IntelliCare are still in clinical trials at Northwestern, though CBITs is in discussions with Kaiser about deploying IntelliCare through its patient portal. "Mobile interventions have much farther reach than individual providers can have," Weingardt said. "They can reach many more people beyond those we can see in our clinic. And a health system that adopts these kinds of tools can improve their bandwidth and their ability to address these problems beyond the capacity of their workforce.” [Like Healthcare IT News on Facebook] In the Northwestern’s clinical trials, Weingardt added, that means giving participants tools to get symptoms under control and making it less likely they will come back with complaints. Providers such as Northwestern and other simply cannot ignore the trend toward mobile tools any longer, said population health management vendor Enli Health Intelligence chief medical officer Joseph Siemienczuk, MD. "We have to follow the communication preferences of the community and and it is clear that their communication preferences have moved to mobile technology,” Siemienczuk said. "As we pursue effectiveness, moving patient engagement activities to mobile technology is an imperative." Twitter: @SiwickiHealthIT

LAS VEGAS - While healthcare industry veterans were speaking on lessons learned at HIMSS16, health IT's up-and-comers were participating in a meeting of the minds at the first HIMSS-hosted event dedicated to Millennials. Overheard at the Future Leaders of Health IT Reception, held March 2 at the Venetian's Label Lounge, was a range of conversations touching on everything from favorite new technologies to strategies for business initiatives. [Also: See photos from Day 3 of HIMSS16] But the overall theme was a changing landscape for healthcare and and technology alike. Millennials see great potential in the latest tech, but say the key to incorporating new IT is culture change. "My hope is that healthcare should become like the hospitality industry, like a spa or airline," said Neel Mehta, co-founder of EpiFinder, a tool that helps providers effectively diagnose epilepsy syndromes at point-of-care. For instance, he said, airlines have a black box that records all activity on flight; healthcare lacks a similar device. There's value in transactional data, following the patient from the time they check in until they leave, Mehta said. Right now, "healthcare is reactive, rather than proactive." The HX360 Executive Leadership Forum was another point of interest for attendees, who appreciated the smaller scale and more "digestible" format. For these emerging healthcare leaders, the new innovations and crucial care delivery models were "inspiring." One attendee noted the health IT landscape was much different than it was 30 years ago: It's much more diverse. But despite these changes, some Millennials are still waiting for the industry to catch up. Kunjan Divatia, director of revenue cycle and access at Yale New Haven Health System, said his organization is making great strides in terms of innovation, but still sees room for progress on a nationwide scale. He said some states – California, for instance –  are doing better than others in setting the stage for getting newer ideas into the mix. But he said he looks forward to the day when government and private-sector health organizations are able to include more healthcare leaders from his generation into regulation and leadership committees. Twitter: @JessiefDavis This story is part of our ongoing coverage of the HIMSS16 conference. Follow our live blog for real-time updates, and visit Destination HIMSS16 for a full rundown of our reporting from the show. For a selection of some of the best social media posts of the show, visit our Trending at #HIMSS16 hub.