Hello Health Blog

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

Hello Health and HIT: Looking back, looking forward

Posted by Barry Holleman on Tue, Jan 07, 2014 @ 02:59 PM

What a year 2013 turned out to be! The Hello Health development team released EIGHT platform updates over the course of the year, each in response to the feedback and needs of our customers. Hello Health’s interactive relationship with our users makes it possible for us to achieve this continuous improvement. It’s easy to stay excited in this field – new opportunities to instigate innovation arise every day. As we pack away our holiday decorations, we here at Hello Health are excited to embark on the journey of Health IT that lays before us in 2014. But before we look forward, let’s hit the highlights of what went on around the industry last year.


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Topics: Hello Health, health information technology, HIT, patient engagement, EHR, Meaningful use, Health IT solutions

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

Experience is not Patient Engagement: Designing to Satisfy Needs, Not Rules

Posted by Steven Ferguson on Tue, Dec 11, 2012 @ 10:49 AM

Michael Schrage, well-known author, MIT professor and Harvard Business Review writer, posted a compelling blog at HBR on the difference between user experience and user engagement.

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Topics: patient engagement, EHR, meaningful use incentive, Meaningful use

EHRs are Truly Magic – Just ask Harry Potter (and Mostashari)

Posted by Martin Pierre Roy on Wed, Oct 31, 2012 @ 07:52 AM

What do EHRs, Meaningful Use and Harry Potter all have in common?  Magic?  Farzad Mostashari, M.D., seems to think so. The national health IT coordinator conjured up visions of the well-known wizard a couple of weeks ago during the College of Healthcare Information Management Executives (CHIME) CIO Forum in Indian Wells, Calif. While explaining how Meaningful Use is meant to incite improvements in quality of care, Mostashari gave an example of how electronic health records are like magic compared to the often inefficient paper charts.  He asked the crowd of healthcare chief information officers to imagine opening a folder in which the paper would come alive for part of the patient’s life: 

 “What if a doctor could conjure up a magical spell and have all the charts of patients with diabetes fly off the shelves, opening to the pages that would show whether or not each person got the recommended care?”  

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Topics: EHR, Electronic health record, Meaningful use, Farzad Mostashari, Harry Potter

What Patients Want: Patient Portals that are Truly Integrated

Posted by Steven Ferguson on Wed, Sep 26, 2012 @ 09:06 AM

Last year, Google Health, a cloud-based Personal Health Record (PHR) was shut down, and Microsoft’s own PHR, Health Vault, has morphed from a consumer offering to a service offered to providers. And, in spite of the next phases of Meaningful Use requiring patient portals integrated into EHRs to increase engagement and improve outcomes (reference Sept. 24 Hello Health blog post), there has been a chorus of critics proclaiming the PHR dead in the water. Patients will never adopt it, no one will pay that close attention to their health, they say. They point to the limited adoption of all sorts of consumer-directed health tools, from fitness monitors to PHRs as evidence.

Yet, in August this year, Kaiser Permanente announced that almost two thirds of the 3 million members who had access to its PHR, My Health Manager, had not only signed on but were also using it, to the online tune of 1 million secure e-mails and 2.5 million lab test results per month. Sounds like successful adoption to me.

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Topics: EHR, patient portal, PHR, Meaningful use

Meaningful Use Stage 2 is Step 1: Stepping Through the Patient Portal

Posted by Stephen Armstrong on Mon, Sep 24, 2012 @ 10:27 AM

With the recent publishing of the final Stage 2 rule for meaningful use, we are likely to be talking about the state of patient portals more than ever. This is because, under Stage 2 requirements, physicians will not only have to offer patients online access to their records, but must also ensure that a percentage of their patients will use it. The bar is not particularly high at first blush – 5 percent of patients – a reduction from the original 10 percent threshold originally proposed. Nevertheless, for a practice with 2,000 patients, that means at least 100 patients will need to access, print, share or download their records.

Patient portals are not new. Practices with an existing EHR “sans portal” will need to add one or even possibly replace their EHR. And there have been well-publicized entrees and exits in this space. Remember Google Health?  And as recently profiled in the American Medical News article, Will Meaningful use Spur Growth of Patient Portals?, an October 2011 survey published by Manhattan Research found that 140 million patients reported that they have not accessed their records nor are they interested in doing so.

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Topics: patient engagement, Electronic health record, Meaningful use, Health IT solutions

Profiting from Change: The Benefits of Health Information Technology

Posted by Steven Ferguson on Mon, Sep 17, 2012 @ 01:58 PM

What if…?

  • If banking were like health care, automated teller machine transactions would take not seconds, but perhaps days or longer as a result of unavailable or misplaced records.
  • If home building were like health care, carpenters, electricians and plumbers each would work with different blueprints, with very little coordination
  • If shopping were like health care, product prices would not be posted, and the prices charged would vary widely within the same store, depending of the source of payment.
  • If automobile manufacturers were like health care, warranties for cars that require manufacturers to pay for defects would not exist. As a result, few factories would seek to monitor and improve production line performance and product quality.
  • If airline travel were like health care, each pilot would be free to design his or her own preflight safety check, or not perform one at all.
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Topics: Hello Health, primary care practice, small physician practice, Meaningful use, Health IT solutions

Meaningful Practice, not just Meaningful Use

Posted by Steven Ferguson on Mon, Aug 27, 2012 @ 10:38 AM

For a couple of years now, the primary care sector has been particularly focused on Meaningful Use. I recently posted about the impact of the Supreme Court decision on the ACA, and how John Loonsk, M.D. of CGI General commented that we need to look beyond the narrow view of EHRs optimized for Meaningful Use incentives to consider the broader opportunities for technology to transform the experience of care.

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Topics: Hello Health, primary care practice, meaningful use incentive, Meaningful use, Affordable Care Act

The Affordable Care Act and your EHR

Posted by Steven Ferguson on Fri, Jul 06, 2012 @ 09:32 AM

Last week’s landmark decision from the Supreme Court clears the way for full implementation of the 906-page healthcare reform law. Know anyone that read it from cover to cover? I didn’t think so. No worries - basically, the law establishes insurance exchanges in each state, prohibits insurance companies from discriminating against the sick, and requires nearly all Americans to prove that they carry health insurance starting in 2014.

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Topics: primary care practice, Electronic health record, meaningful use incentive, small physician practice, free EHR, free EMR, independent primary care, electronic medical record, independent primary care practice, small independent primary care practice, independent physician practice, Meaningful use, accountable care, Affordable Care Act, HITECH

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