Hello Health Blog

Stephen Armstrong

Stephen Armstrong is senior vice president for Hello Health, the revenue generating EHR platform for primary care practices supporting practice vitality through patient engagement.
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Recent Posts

Rolling Back Medicine

Posted by Stephen Armstrong on Tue, Aug 26, 2014 @ 09:56 AM

The recent opening of several primary care clinics by Wal-Mart is among the latest examples of how our health care delivery landscape continues to evolve. And when the nation’s largest retailer decides to offer medical services, it is certainly a move worth noting. While the overall number of primary care clinics that Wal-Mart currently operates is just a handful in a couple of states, the potential to scale is enormous.

If the king of rolling back prices, rolls back medical care too should the independent primary care physician be concerned? Will Main Street Medicine be the latest casualty to the popularity of mega-retailers?

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Topics: primary care practice, consumer-driven health care, patient portal, Health IT solutions, innovation, Telemedicine

The Patient Engagement Pyramid

Posted by Stephen Armstrong on Fri, Aug 08, 2014 @ 04:30 PM

This blog post was originally published in 2012. Two years later, patient engagement is even more in focus as patient portals are launched in response to Meaningful Use requirements and as the opportunities for population health management are pursued through coordinated care delivery. As part of The American Academy of Ambulatory Care Nursing's curriculum on Care Coordination and Transition Management, there is an excellent discussion on Population Health Management. The concept of a Patient Engagement Pyramid is referenced in this content. For those interested in ordering the AAACN materials, please visit http://www.aaacn.org/practice-resources/cctm

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Topics: patient engagement, EHR, EMR, Electronic health record, Patient Management, PHR, Meaningful use, patient self-management

The Affordable Care Act – On the Doorstep of Open Enrollment

Posted by Stephen Armstrong on Thu, Sep 26, 2013 @ 09:07 AM

October 1, 2014 is a historic date in the history of health care in our nation. Open enrollment will commence under the Patient Protection and Affordable Care Act (ACA). And whether you support or contest the vision or the execution of this law, it is hard to deny the impact it will have. Today’s primary care practices are on the front lines of this new environment.

In a survey by Deloitte’s Center for Health Solutions, 32 percent of surveyed primary care physicians considered it a step in the wrong direction. For both provider and patient, there is much to be educated about and many are still unaware of the details.

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Topics: primary care practice, Affordable Care Act, medical practice management

Connecting with Your Patient Panel through Your EHR

Posted by Stephen Armstrong on Mon, Aug 19, 2013 @ 09:29 AM

On a recent trip to visit a customer, I flew on a major carrier that I had not been on for quite some time. As I sat waiting for my flight to board, the gate agent proceeded to identify a seemingly never-ending list of passenger categories for boarding prioritization. On this airline it was not just families with small children, people needing extra time to board, and active service military. To these well-deserved priority groups, this airline added holders of more than one affiliated credit card and a mine of precious metal-themed frequent flyer categories.

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Topics: Appointment scheduling, patient panel, population health management

Electronic Health Returns

Posted by Stephen Armstrong on Fri, May 31, 2013 @ 02:36 PM

An interesting study on the return on investment from implementing an electronic health record
 (EHR) appears In the March 2013 issue of Health Affairs. Based on survey data from 49 community practices that participated in the Massachusetts eHealth Collaborative, the authors found that the average physician has lost $43,743 over five years with just 27 percent of practices achieving a positive ROI. Among practices with 1-5 physicians, the average loss was even higher at over $50,000. The findings are based on the purchase of various commercial EHR systems but none were Hello Health.

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Diversity in Health Information Technology

Posted by Stephen Armstrong on Thu, May 16, 2013 @ 09:30 AM

Diversity in health information technology (HIT) often gets a bad name. In the electronic
health record (EHR) space, it comes up in the context of too many vendors, too many solutions, too many versions, too many silos, too much work to figure it all out. While certainly the metrics are what they are and there is no disputing the plethora of EMRs in the market, but how many are truly different?

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Topics: Hello Health, health information technology, EHR, Electronic health record

From Data Liquidity to Financial Liquidity

Posted by Stephen Armstrong on Tue, Apr 09, 2013 @ 03:34 PM


We are on a steep trajectory of electronic health record (EHR) adoption. From first generation systems, to stage 1 and more recently stage 2 Meaningful Use capabilities and certifications, electronic health records are growing up. Collectively, vendors have built what was initially asked – individual systems to manage the information needs of the clinical enterprise, whether a solo practice or a network of facilities. As critical mass is being achieved in terms of EHR market penetration, an increasing share of our focus is now on the exchange of information between what has become in some cases, electronic health information silos. Data liquidity – or being able to extract your data and share it to support the continuum of care is another entry in our growing HIT lexicon. It is not only logical but a Meaningful Use requirement.

But the definition of liquidity can and should extend beyond data.

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Topics: Electronic health record, Meaningful use, health information exchange, electronic health revenue

Choosing an EHR Vendor: Are You Viable?

Posted by Stephen Armstrong on Tue, Mar 19, 2013 @ 11:26 AM

There is no shortage of choices when it comes to electronic health record (EHR) vendors. While the actual number is hard to confirm, there are literally hundreds. A look at one Office of the National Coordinator for Health Information Technology (ONC) approved certifier’s list indicates 469 different solutions that have met Stage 1 of Meaningful Use. So how to choose?

The latest data suggest that the first choice, however it was made, may not have been the right one. In a recent survey by Black Book Market Research, fully 23 percent of practices are unhappy enough to consider seeking a replacement to their current EHR. When you consider how busy today’s practices are, how much pressure they face to maintain − let alone grow − their revenues, as well as manage their costs, it is daunting to think that they must also find time to search a congested category of technology solutions once more. And this time with no margin for error.

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Topics: Electronic health record, small physician practice, EHR vendor selection

EHRs: A Holistic Platform for Holistic Care

Posted by Stephen Armstrong on Thu, Feb 07, 2013 @ 10:59 AM


As the Hello Health team works increasingly with integrative medicine practices, it strikes me how many observers of electronic health records in ambulatory care neglect to consider the fit with this important and growing segment.

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Topics: Hello Health, patient engagement, EHR, Electronic health record, integrative medicine, holistic medicine

Happy New Revenue™!

Posted by Stephen Armstrong on Tue, Jan 08, 2013 @ 10:50 AM

My family enjoys a little tradition each year that has been passed down through the
 generations. Each New Year’s Eve, we step outside our home and each member of our family places a few quarters, dimes, nickels and even pennies outside of the front door. They get tucked away under a pot, behind a bush or around a corner out of view. Then come New Year’s morning, we return to bring the coins inside our home in the hopes of prosperity for the next 12 months. Occasionally, a coin gets left behind because it was hidden too well or perhaps found by the neighbor’s dog, but nonetheless the New Year starts with New Revenue!

For our Hello Health customers, their practice benefits in the same way --albeit the revenue is considerably higher and revenue generation comes throughout the year; not just on a single day.

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Topics: Hello Health, Electronic health record, physician revenue, new revenue

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