Although many are predicting that 2016 will be the year for Health IT, after consulting The Prophecies by Michel de Nostredame I have some wake up news to provide everyone:
1 – The death of the Meaningful Use corpse that was announced by CMS Chief Andy Slavitt during the J.P. Morgan Healthcare Conference, which took place in San Francisco from January 11th – 15th 2016, will have serious repercussions throughout Capitol Hill and will fuel one of the “bloodiest” political battles in the United States history.
The dilapidation of $31 billion that didn’t bear fruits beyond the 1st stage which only true requirement was “Use an EHR”, which proliferated the physician practices with clunky products and created the most insensible healthcare environment between doctors and their patients, will be questioned by many politicians of opposing parties and used against the ruling party.
2 – Since the failure of coming up with a sound national interoperability strategy and the lack of execution of any plan after 7 years, interoperability will take a first stage during 2016. There is a clear acknowledgement that Meaningful Use failed because it set out interoperability requirements without having a strategy and useful standards.
A very serious national conversation will occur and action will come out of it. There will be an honest recognition regarding that what we have as standards today will not get us where we need to be and that they have failed over and over without providing a clear path to success. There will be participation with the most successful technology companies in the world in order to address interoperability.
There will be some surprises where some startups will rise out of the dark and offer extremely creative solutions.
3 – National Federated HIEs will be formed in order to bring together the states and other private and public HIEs that have been continuously failing, one after another.
This alone will bring about serious transformation in healthcare where a national patient identifier will finally be agreed to and a standardized format of a longitudinal electronic health record, that includes genomics and other personalized medicine information, will be defined in order to achieve true interoperability.
4 – Gadgets will be gadgets and disappear out of the healthcare landscape. True medical devices and approved by the FDA will start appearing in the market and leaving gadget and app “pushers” behind and eating dust.
There will be innovative apps but they will have to undergo serious regulatory trials and approvals before being marketed as such. If they claim to diagnose, detect or treat a disease or a health abnormality they will have to obtain a PMA or a 510(k).
5 – Telehealth will continue to struggle to discover its positioning in the consumer market. The technology is present and ubiquitous but it will have many cultural challenges to be universally adopted.
6 – Precision or Personalized medicine will start merging with Healthcare IT to discover that it will take years to become mainstream. Although many healthcare systems with sufficient financial resources will be successful with genomics and pharmacogenomics.
7 – Big Data will finally be recognized as a fad in healthcare and a movement towards relevant, contextual and precise data, along with precision medicine, will be what the industry will follow.
8 – Merges and acquisitions will continue, companies will be flipped, but they will all be duds. The true winners will be those that have been patient and have paid there dues while providing true service to healthcare.
The world will not end as the older prophecies revealed.