The future of digital healthcare
During our webinar on the Future of Digital Healthcare, we opened the floor to our audience who asked panelists Zayna Khayat, SE Health, and Chris Vigna, Pyramid Healthcare Inc. pressing questions about privacy, provider support, and the ethics of our healthcare fee structure. Here are their responses:
Can you further explain the concept of healthcare, everywhere?
CARE ANYWHERE is one of the key paradigms that leading health systems (like Kaiser Permanente) are adapting. Essentially, care follows the person, not the place. It is a true “omni-channel” experience – in the case of Kaiser Permanente, people can access their care (synchronously or asynchronously) via a ~dozen channels, only a handful of which require them to physically come to a place.
Where does level of client digital knowledge come in? If they are struggling with technology, where does that leave the provider and quality of care? There seems to need to be digital support tied to their care support.
YES, this is one of the variables for the segmentation and tailoring that care providers need to do when they are designing the optimal care delivery model with each patient/client. This is NOT DIFFERENT from the barrier that an in person encounter has for many people – some people are very overwhelmed by the clinic environment, the doctor intimidates them … and it is therefore no surprise that in most cases, 85% of the information exchanged in a visit-based encounter is LOST to the ether. This is worse– in my opinion– than the digital literacy gaps that omni-channel care will have to overcome.
Should government pay less for a digital visit vs. in person?
Government should NOT pay for visits for almost all types of care. Transactional visit-based, fee-for-service care makes no sense for people who have complex illnesses. We need to rethink our fee structure and start applying the fee-for-health model.
How would you suggest deploying the fee-for-health delivery model in a publicly funded health system?
It already is happening in many contexts. In Ontario, for example, 8 care pathways are funded on a “bundled” payment model. This is effectively the government saying that they are prepared to pay X as long as you achieve results A,B, and C. This is instead of paying for each individual transaction across the care pathway.
Why not put security in the hands of the client, instead of an organization who is providing the digital platform?
Yes, this is the direction things are going. An example is Healthbank in Switzerland.