The key to patient-centered care - a concept that continues to evolve - is the relationship between physician and patient. Finding the balance between patient engagement and information technology, however, can be challenging.

IT has benefited healthcare practices in many ways. For example, it allows patients to service themselves when it comes to transactional exchanges, such as scheduling appointments and reviewing bills.

There are fears, however, that IT can also create distance between the practitioner and patient, reducing face-to-face contact. Here are three tips to ensure that doesn’t happen:

1. Accept that patient-centered IT initiatives help the physician. Small practices need to adopt the same features as their competitors, including large practices as well as low-cost primary care providers such as CVS and Walgreens.

2. Determine your needs. Patient-centered IT practices vary. Some practices use patient portals to optimize patient input. Others use email, text, video and mobile apps to create an impact across a broader spectrum of their patients' health. You’ll need to find what works best for your patient. Younger patients, for example, might prefer text messaging; older patients might prefer email.

3. Reconsider your reimbursement model. IT advancements have patients emailing, text messaging and video conferencing their doctors without payment. That puts pressure on the physician to do more for less. This is a problem with your business model, not your IT. You can't offer services that eradicate half of your service visits or you'll bankrupt your practice.

For details, please see “Five Keys to IT and the Physician-Patient Relationship.”

In order for your IT department to be successful, you need a strategic plan that will both optimize your workflow and help to define your practice’s needs. The well thought out and executed plan will exhibit a focus on the experiences of your staff and patients. Here are five considerations that can help you develop your strategic IT plan.

1. Improve the patient experience. Many healthcare practitioners consider the patient experience a major challenge, yet don’t give much thought to how IT can improve it. Consider what you can do electronically to support patients, whether they're in your facility or not. Electronic forms? Email and text message reminders and confirmations? Kiosks?
2. Consider best practices. Technology can help you get to know your patients better. The Web, for example, can be used as a first point of engagement. Ask a few questions of visitors, then tailor your responses to their needs. A patient interested in a first consultation would receive different information than one preparing for his or her first round of cancer treatment.
3. Don’t forget the staff! Your staff needs successful workflows to interact effectively with patients. Common errors are multiple devices and different logins. Keep in mind how clinicians work to develop efficiencies. Your staff needs to be able to provide clinical care without being tied to a PC.
4. Use social media. Social media often isn’t included in IT planning, as it’s usually more of a marketing consideration. Without thinking about how it will be used, it will become difficult for patients and staff to have a singular experience. Your IT department needs to work with other departments to develop a social media plan that will yield a consistent presentation to the end user.
5. Use integrative planning. Typically, IT does its strategic planning in isolation. Ideally though, IT would plan with other departments. This “integrative planning” allows for a consistent plan supported by all parts of the practice.

Do you need to save money on your IT costs? If so, here are five things you can discuss with your IT provider: be practical, be creative, invest in training, consider enterprise-directed IT, and consider long-term costs and benefits. Below we discuss each in more detail.

1. Be practical. Extend the life of existing systems to help you get the most out of their value.

2. Be creative. Think outside the box. You might allow doctors and nurses to use their own smart phones and tablets on the job, foster development of your own apps, and leverage inexpensive cloud services, such as Google Apps.

3. Invest in training. It's easy to underestimate the cost savings associated with training—and the easier a system is to use, the less training you'll need to provide.

4. Consider enterprise-directed IT. Much of the technology that's interesting and cost effective right now isn't consumer directed – it's enterprise directed.

5. Consider long-term costs and benefits. With new technologies popping up left and right, choosing the right ones is critical. Those that protect against data breaches, for example, may be the most important given that a recent ID Experts and Ponemon Institute report found data breaches in U.S. healthcare organizations have cost providers more than $6 billion a year.
   

   Published with permission from TechAdvisory.org. Source.

Data breaches and patient privacy rights were some of the most popular health-care IT topics in 2011, and that's unlikely to change in 2012. Below we review some related topics to help ensure that you stay clear of potential hurdles in the coming year.

Medical identity theft resulting from data breaches are causing patients much distress, emotionally and financially—and this often results in patients switching providers. That can hurt health care providers financially, since the average lifetime value of one patient is more than $113,000, according to a study by Ponemon.

Additionally, security and privacy breaches can lead to class-action lawsuits, which will increase in 2012, according to Kirk Nahra, a partner at the law firm Wiley Rein LLP. This was certainly the case in 2011, and shouldn't change in 2012. The result will inevitably be increased costs for affected health care providers.

That will likely lead to two major changes in the industry. First, security and privacy training will become paramount. Although many health care providers already have related procedures in place, in many cases their staff members ignore them. Since most breaches are caused by human error, training will likely become more common.

Additionally, health care providers will likely utilize cyber liability insurance. Cyber Data Risk Managers has said this will be particularly true as health care providers continue to implement their electronic medical records (EMRs), as breaches can be both costly and damaging to the organization’s reputation, as noted above.