The COVID-19 pandemic has highlighted the significance of every kind of healthcare info expertise, from telehealth to synthetic intelligence. In consequence, the alternatives that exist for well being IT firms are large.
Crunchbase estimates that healthcare expertise firms have raised a record-breaking $36.6 billion globally from 2020 by way of October 2021. That sizable mountain of money gives myriad alternatives for innovation in 2022 and past.
To get an concept of what this future could maintain, Healthcare IT Information interviewed Sebastian Seiguer, CEO of the Johns Hopkins-backed well being IT firm emocha Well being. Sebastian discusses how the pandemic has strengthened the necessity for AI and machine studying expertise to assist enhance affected person and scientific outcomes, how well being IT might help handle the challenges going through the U.S. healthcare system and assist mitigate income loss, and the highest innovation alternatives that exist for well being IT firms.
Q. How has the COVID-19 pandemic strengthened the necessity for synthetic intelligence and machine studying expertise, transferring into 2022, with the purpose of enhancing affected person and scientific outcomes?
A. Whereas superior AI purposes maintain nice promise for healthcare, we at present lack the enormous datasets and the granularity of knowledge to transcend pretty easy algorithms and actually enhance outcomes.
On the easiest degree, AI refers to coaching machines to behave like people, automating routine duties resembling coding claims or scheduling appointments. Right now, AI in healthcare is mostly used to automate duties resembling name middle routing or appointment scheduling.
AI-powered chatbots are an ideal instance – these are glorified decision-tree frameworks in a chat window, in content material not a lot completely different than the automated computer-voice determination tree we expertise when calling into massive firms or authorities companies.
There are a minimum of two the reason why we lack the wanted information units to satisfy the promise of AI in healthcare. First, a lot of our healthcare information is siloed between suppliers’ workplaces, well being insurers, laboratories and different places. Every locale collects affected person information, however the information units do not discuss to one another.
And second, a lot of what influences well being takes place exterior of healthcare settings, the place sufferers reside, work and play. Right now there’s an enormous push to combine social determinants of well being information into these bigger datasets, however we stay in a scenario the place that information is both not collected or too common to be helpful. This isn’t an sufficient foundation for significant machine studying.
We all know, for instance, that half of sufferers do not take their drugs as prescribed. This results in dying and preventable hospitalizations, amongst different horrible outcomes.
But we do not make use of the information techniques and applied sciences to trace the precise causes and cadences of medicine non-adherence. Till we are able to pinpoint the explanations behind non-adherence on a dose-by-dose foundation, we can’t have the ability to create predictive algorithms to assist us intervene successfully.
The excellent news, although, is that exercise on this space is exploding. COVID-19 pushed us to digitize healthcare interactions and federal guidelines are requiring that datasets adhere to requirements that enable for integration. These developments level to exponential development in each the scale and granularity of our datasets, permitting healthcare information scientists to start to coach the fashions wanted to actually notice the potential for AI to impression scientific outcomes.
Q. There are some predictions that well being techniques could undergo income loss in 2022. How can well being IT assist mitigate such loss?
A. Well being techniques are at a crossroads. Through the early days of the pandemic, they quickly adopted digital care fashions – telehealth and e-consults – and sufferers tailored. Now, with growing vaccination, some sufferers are coming again to in-person visits, however the quantity is much lower than pre-pandemic ranges – and is more likely to stay low by way of 2022.
The answer is for well being techniques to adapt to and additional prolong digital care fashions. Extra kinds of digital care are actually reimbursable because of new guidelines created by CMS.
For example, by recently approving a new set of reimbursement codes for remote therapeutic monitoring (RTM), CMS has made it potential for well being techniques to get paid for a wide range of virtual therapeutic encounters. By embracing a hybrid mannequin of in-person and distant care, well being techniques with employed suppliers could possibly make up a few of their projected misplaced income.
Q. What are a few the highest innovation alternatives for well being IT in 2022?
A. It is a big query, as well being IT touches all elements of the U.S. healthcare ecosystem: payers, suppliers, researchers, life sciences, and so forth.
My firm is especially involved with one dynamic specifically: how related healthcare applied sciences may be mixed with human engagement and scaled so digital care may also enhance scientific care and full the patron expertise.
The primary wave of innovation in that area concerned permitting suppliers to speak with sufferers by way of chat, video, photo-uploads and texting. These talents have now grow to be customary fare – sufferers count on them, and all suppliers should supply them.
The subsequent wave is the daybreak of digital-first clinics with a main care focus, whereas providing sure specialties – resembling bodily remedy, cardiology, maternity or behavioral well being. These suppliers are interacting with sufferers in a mixture of bricks-and-mortar and digital care fashions.
One other rising alternative lies in RTM. Constructed into the 2022 Medicare Doctor Charge Schedule, RTM codes embody a broad set of digital affected person care providers, together with the digital assortment and monitoring of medicine adherence and “remedy response” information in addition to the supply of “therapy administration providers.”
RTM additionally supplies reimbursement mechanisms for digital packages that assist sufferers observe “physician’s orders” in between appointments – including taking medication properly.
Q. What’s going to the following wave of well being IT-fueled client innovation seem like in 2022 and past?
A. COVID-19 confirmed us that suppliers and sufferers alike are able to embracing new digital modalities. Now these interplay codecs have gotten normalized and commoditized. Into 2022 and past, the implementation, adoption and integration of digital and digital care throughout completely different populations and use-cases will preserve increasing.
As healthcare supply turns into extra location-agnostic, shoppers will possible count on their healthcare experiences to appear and feel extra like different on-line experiences however with better privateness, and the chance for private connection.
As healthcare leaders, our problem will probably be to guarantee that we combine in-person and digital care with out sacrificing healthcare outcomes and whereas persevering with to enhance affected person engagement.