Issue link: https://beckershealthcare.uberflip.com/i/1255100
44 QUALITY IMPROVEMENT & MEASUREMENT app that will monitor heart patients for atrial fibrillation. If re- sults are abnormal, the device will immediately notify the patient and call an ambulance. 3. How hospitals handle data today will make or break patient trust in the future. With the new HHS interoperability rules mak- ing it easier for patients to own their own data, the most trusted health systems with integrated IT that allows easy and secure information transfer will have an advantage over others. Patients will also seek out organizations that ensure their health data won't be used against them. Consumer data has shown that patients trust their local hospitals and providers more than insurers, big tech or big pharma. Dr. Klasko be- lieves that big tech's place in the healthcare system will look more like the Microso model of entry, where the companies create a space for data storage but patients will control who sees their information. "We must put ethicists at the start of the conversation as we begin to amass and analyze an individual's data or genomics, we must reduce all barriers to interoperability among electronic records and most impor- tantly, a patient's data should be owned by her — not the insurer, the provider or the hospital," said Dr. Klasko. "In the future if a patient wants to switch physicians, she will merely change her password." 4. Technology can close the gap between the "haves" and "have nots," but it must be applied strategically. Technology can only improve community health if everyone has access to it. "e digital revolution cannot simply make the wealthy healthier," said Dr. Klas- ko. "Digital medicine gives us an unparalleled opportunity to address the social determinants of health and provide access to everyone in their own neighborhoods. e pandemic telehealth team at Jefferson calls themselves the 'Night's Watch' from Game of thrones, they are the 'invisible' defense to this viral foe." Digital medicine will allow healthcare providers to address social determinants of health and democratize access to the best healthcare in the nation if it's applied appropriately. Many underserved patients are not taking advantage of available resources, like clinic visits be- cause they can't take time off from work, need childcare, etc. Digital healthcare "e technology exists, but the key is to make sure everyone on Medicaid has access to it at scale," said Dr. Klasko. "If all Medicaid patients received the right wearables or a digital scale they could step on every day, we could monitor whether their condition is worsening. One cool thing Google is doing is developing kiosks where people can look at a green light on the screen and they can tell with near certainty whether they should be screened for retinal changes due to diabetes, which they are at a higher risk for than the general population." In another example, Jefferson is deploying technology for women to monitor their health during pregnancy. During pandemics, this technology could alert people in real time about their symptoms and ensure they aren't leaving the home. "It will be unthinkable a few years from now that a pregnant patient that needs to be monitored a few times a week will have to come into a hospital full of sick people to do it," said Dr. Klasko. "We know that the underserved population has a higher maternal and perinatal mortality partly because they cannot afford to take off from work, park the car, etc. Bringing pregnancy care into the home can be a game changer." 5. e most prized skills in physicians will be empathy, commu- nication and self-awareness in the digital age. Medical schools traditionally emphasized the best technical skills and ability to memorize information and make quick decisions on diagnosis and treatments. Robotic technology and artificial intelligence now can as- sist physicians with those skills. But they can't make caregivers more empathetic or better communicators with their patients. "ere will be a disruption in how we choose doctors, nurses and other health professionals as the fourth industrial revolution, which includes AI, internet of things, 5G, 3D printing and robotics, takes hold," said Dr. Klasko. "Knowing the answers will be the least im- portant parameter. Knowing the right questions to ask and how to listen to, talk to and empathize with a diverse group of patients will be the 'new gold' for applicants. We will not need robotic physicians or nurses that can memorize complex formulas because they will never do that better than the robots, just as we don't expect people to run faster than cars." Jefferson is creating a College of Emerging Health Professions that will include some of the new models of care that promote self-aware- ness, empathy and cultural competence among healthcare profes- sionals. e system also has the Jefferson Scale of Empathy, which is used to measure compassionate care in the context of medical education and patient care. "rough that scale we have learned that empathy can be measured, can be taught and can be improved," said Dr. Klasko. "at has led us to change our selection process to be more holistic and diverse and to inject humanities and creativity into the curriculum. As one of the oldest health professions universities we merged with a nationally recognized 'design' university in order to 'weave' design thinking and creativity into our scientific curriculums." n 888.277.2596 • info@uvangel.com • uvangel.com See UV-C in a Whole New Light. 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