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The section regarding providers needing to build time and processes to evaluate this information is important. In current practice, this is akin to setting aside time to call patients for follow-up – regardless of the extra work involved with this step, it does not seem that providers will be reimbursed for this time; this is important, because every segment of time that is non-billable is less revenue and income for providers to continue to practice, especially primary care providers. Does ONC plan on introducing regulation or legislation to address this? In addition, given the multiple types of unstructured data that one can collect (diet, exercise, weight/BMI, blood glucose, blood pressure) it is quite a bit to put this on providers to go through and interpret what is going on,… more »
UCSF is currently doing research on using different apps to track heart rate in the field, comparing multiple modalities against each other. Our institution is looking at behavioral triggers for congestive heart failure patients, and trying to combine choice architecture with mHealth apps to help modify habits as well as monitor patients outside of the hospital. And lastly, we will be applying for research grants to see what is the ‘limit’ on the number of monitoring devices and data streams for patients before they hit ‘monitoring fatigue’
The government can create universal standards for types of data, as well as how it is communicated. Consumer eHealth apps and tools can collect data directly and create a data portrait of patients, that can be used to help patients manage their conditions and truly optimize provider-patient interactions; instead of unnecessary extra and annual visits, apps and tools can be part of a heuristic system that senses when people fall out of particular health parameters and should come into the healthcare provider office or hospital. Moreover, the information of how to get the proper access, how not to waste resources on redundant testing, could be integrated into this system (i.e. Google’s Android system integrating email, searches and other personal info while serving Just-In-Time info for… more »
Thank you for your comment, gmathews71. You raise interesting points about the time and resource constraints providers face. The feedback ONC receives will help them evaluate where they should focus their health IT efforts, which may include working with agencies to develop new regulations and working with legislators and others to develop new legislation.
Given the current fee for service payment model, what do commenters think the government can do to make it easier for providers to incorporate PGHD into their work flow?
Thank you for your comment, gmathews71. Could you describe what universal standards you think the government should create?