A PHYSICIANS INSURANCE PUBLICATION THE SUMMER 2020 PHYINS.COM 4 Health Tech in 2020 Six Trends Shaping Modern Healthcare 8 How Healthcare Innovation Ecosystems Accelerate Transformation 18 Healthcare’s Digital Revolution How Pop Culture’s Tech Tools Are Impacting Patients and Providers Technology Trends that are TRANSFORMING HEALTHCARE EDITORIAL STAFF Technology and Partnerships PUBLISHER William Cotter SENIOR EDITOR Keys to Improving Population Health and Creating David Kinard MANAGING EDITORS a System That Works for Providers and Patients Catherine Kunkel Kirstin Williams Over the past decades, clinical The implications of continuous, real- CONTRIBUTING WRITERS science and medicine have brought an time data for patients are profound. Anne Bryant explosion of knowledge, unprecedented Understanding a patient’s baseline Malia Jacobson Cindy Lin, MD ability to diagnose and predict certain metrics could allow us to diagnose Maura Little diseases, improved management diseases better, track trends, monitor Shwetak Patel, PhD Robin Roenker of previously fatal conditions, and costs unobtrusively over time, and CONTRIBUTING EDITOR groundbreaking innovation in precision even personalize therapeutics. Today’s James Carpenter CONTRIBUTING EDITORS—LEGAL therapies and surgeries. Despite these procedural treatments—in which patients Melissa Cunningham, JD advances, healthcare is challenged are instructed to follow a generic set of Nancy Pugh ART DIRECTOR in such basic dimensions as quality rules—will be replaced by declarative Jerry Kopec, Mortise+Tenon and outcomes, cost, scalability, and treatments, in which intended outcomes equity. COVID-19 has transformed are specified and the system dynamically EXECUTIVE MANAGEMENT healthcare by forcing the rapid adoption adjusts to achieve them. Medications and PRESIDENT AND CHIEF EXECUTIVE OFFICER William Cotter of telemedicine and boosting the need monitoring devices will be inextricably VICE PRESIDENT, CLAIMS for technology—for both providers linked; treatments will be more holistic Kari Adams and patients. The pandemic and its and fluid. Wearable technology and ASSOCIATE VICE PRESIDENT, DEPUTY GENERAL COUNSEL Melissa Cunningham, JD associated mortality have cast light on mobile phones have introduced the idea SENIOR VICE PRESIDENT, STRATEGY socioeconomic and racial inequities already; however, the additional data will Christina Galicia in healthcare. The current system is be daunting to many physicians unless SENIOR VICE PRESIDENT, CHIEF FINANCIAL OFFICER AND TREASURER unsustainable, and we must innovate AI and machine-learning algorithms can Kristin Kenny to improve it. support its adoption. SENIOR VICE PRESIDENT, BUSINESS DEVELOPMENT David Kinard SENIOR VICE PRESIDENT, GENERAL COUNSEL A fundamental bottleneck in our system As research and development continues, Mark Lewington, JD is the assumption that healthcare is it will be critical to foster collaboration SENIOR VICE PRESIDENT AND CHIEF INFORMATION OFFICER performed by clinicians face-to-face between stakeholders so physicians and Leslie Mallonee in a facility, in short bursts centered health systems alike will be supportive of SENIOR VICE PRESIDENT, UNDERWRITING around specific problems. Telemedicine our solutions. Our guiding principle should Stella Moeller SENIOR VICE PRESIDENT, has given many physicians their first be investing in technology solutions and HUMAN RESOURCES AND ADMINISTRATION glimpse into patients’ lives, bringing back building partnerships that will strengthen Alison Talbot virtually the lost art of the home visit; in our ability to improve population health giving doctors a sense of patients’ level and change the social determinants of BOARD OF DIRECTORS of family support and home safety, video health, so we can build a healthcare David Carlson, DO, Chairman visits transform the medical history into system that works for everyone. William Cotter a richer picture of the whole person. Lloyd David Joseph Deng, MD The pandemic has also highlighted ways Jordana Gaumond, MD in which the lack of exam data hinders Jennifer Hanscom Chi-Dooh "Skip" Li, JD telemedicine. Empowering patients Shane Macaulay, MD to self-care, and encouraging self- John Pasqualetto Ralph Rossi, MD monitoring and remote monitoring as a Walter Skowronski lifelong process, shifts healthcare toward Cindy Lin, MD, Shwetak Patel, READ PHYSICIANS REPORT ONLINE phyins.com/magazine a partnership between clinician and FACSM, Clinical PhD, Washington patient, while creating new potential for Associate Professor, Research Foundation CONTACT PHYSICIANS REPORT [email protected] Sports & Spine Endowed Professor, population-health management. Medicine, UW Dept. UW, Allen School of HOME OFFICE: of Rehabilitation Computer Science & Seattle, WA Copyright 2020 Medicine Engineering Physicians Insurance A Mutual Company A PHYSICIANS INSURANCE PUBLICATION FEATURES 8 How Healthcare Innovation Ecosystems Accelerate Transformation 14 Medical Advances THEN… and NOW 18 Healthcare’s Digital RevolutionHeart Monitors 4 Health Tech in 2020 How Pop Culture’s Tech Tools Are Six Trends Shaping Modern Healthcare Impacting Patients and Providers ADDITIONAL FEATURES REGULAR FEATURES 12 Virtual Risk 34 Government Relations— How to Manage Risk and Update Reducing the Professional Liability When Threat of Liability for Our Adopting New Technology Providers and Facilities as They Fight COVID-19 20 Cyber Attacks on the Rise Practices and Hospitals Face 38 Trial Results Increasing Threat 40 Dr. Nola Moore Obituary 22 Are Electronic Health Records Causing Practitioner Overload? 24 Paving the Path for Greater EHR Interoperability 26 Reflections from Frontline Heroes 30 Claims Severity and Pressures on Premiums SEND FEEDBACK Tell us more about what you would like to see in upcoming issues. E-mail us at [email protected]. 4 Health Tech in 2020 Six Trends Shaping Modern Healthcare The challenges facing healthcare in 2020 are as vast as they are complex. How can healthcare providers and organizations care for growing numbers of patients, increase efficiencies, improve quality and safety, retain and nurture a skilled workforce, and predict and respond to evolving crises like the coronavirus pandemic? 5 THE PHYSICIANS REPORT | SUMMER 2020 THE PHYSICIANS REPORT s healthcare transforms to 5G NETWORKS meet these challenges, technology More people than ever are visiting Awill play a critical role. Technology healthcare providers in 2020. General helps eliminate barriers to effective medical-care visits are expected to reach collaboration—factors like distance, 200 million this year, up from original knowledge, and access—resulting forecasts of just 36 million visits. But Without adequate in improved operations, enhanced here’s the catch: all these people aren’t communication across silos, and a broad visiting in person. bandwidth, framework for data-driven decision- making. By enabling providers to capture, As providers and patients adapt providers will have analyze, and integrate data across to COVID-19 and social-distancing different geographic regions, practice recommendations, more and more of limited access to specialties, and modalities of care, those visits will take place remotely. data on mobile technology promises to improve outcomes Prior to COVID-19, telemedicine was for both organizations and patients. already projected to grow 16.5 percent devices, and AI and by 2023, according to a report by Tools like artificial intelligence Market Research Future consultants. predictive-analytics and machine learning are helping The global pandemic has accelerated organizations manage and use growing this growth: in March 2020, telehealth capabilities will piles of patient data, while drone delivery, visits surged by 50 percent, according machine vision, 5G, and 3D printing to research from consultants with Frost be stunted. are making healthcare faster, more and Sullivan. accessible, and more effective. Here’s how these six tech trends in particular are All this remote care and monitoring shaping the ongoing revolution. can put a strain on the networks of healthcare organizations, increasing broadband and wireless internet access congestion and slowing speeds. When across underserved parts of the U.S. jammed networks are hampered by lags and delays, communication suffers, care Ultra-reliable, high-bandwidth networks is less efficient, and capacity is limited. are required to enable healthcare to use technology to improve patient Large files generated by PET scans, outcomes, and 5G networks are MRIs, and other types of imaging providing the answer. By providing technology may not send successfully; near-instantaneous access to data and videos used during telesurgeries are lightning-fast transmission of large files, bound to be less precise; and fewer 5G networks improve quality, efficiency, patients will be able to use cost-saving and outcomes. technology like remote monitoring. Without adequate bandwidth, providers Earlier this year, the Veterans will have limited access to data on Administration launched one of the mobile devices, and AI and predictive- nation’s first 5G hospitals in California, analytics capabilities will be stunted. joining Chicago’s Rush University Medical Center and Barcelona’s San High-speed connectivity has become Raffaele hospital in ushering in so central to effective patient care, an era of blazing-fast connectivity that advocates now argue that connectivity is will improve patient experience and a public-health concern. Lack of access reduce the cost of care. to high-speed