Edi­tor’s Note

Health Data Management - - INSIDE - Fred Baz­zoli

Ea­gerly await­ing dis­rup­tion.

WAY BACK IN THE MID-1970S, MY PAR­ents and I ran an er­rand to our bank. I pre­pared to wait in the long line of cus­tomers for a teller. My par­ents made a sharp turn to­ward a shiny ma­chine in a cor­ner of the foyer.

“We use this all the time,” my dad said. “Much faster, no lines.” That was an ATM, and it wasn’t too long be­fore I fol­lowed my par­ents’ lead and went with the new tech­nol­ogy that saved time and made life easier.

Tech­nol­ogy in health­care is in a sim­i­lar place to­day. It’s ready to dis­rupt the way things have al­ways been done. It’s not just that it’s cool, or that some­one’s forc­ing you to use it. It’s now of­fer­ing clin­i­cians the chance to ac­com­plish things and to learn things that can be achieved in no other way.

Dig­i­tal dis­rup­tion is just be­gin­ning to make an im­pact in health­care, writes con­tribut­ing edi­tor John Mor­ris­sey in his story, which be­gins on Page 14. Through the use of tech­nol­ogy such as ar­ti­fi­cial in­tel­li­gence, the In­ter­net of Things, re­mote pa­tient mon­i­tor­ing and more, providers are see­ing changes—read im­prove­ments—in the way their able to de­liver care.

These new uses of tech­nol­ogy are dis­rupt­ing com­mon no­tions of health­care, coun­ter­act­ing some of the neg­a­tive per­cep­tions that some clin­i­cians may have felt about in­for­ma­tion tech­nol­ogy to date, says Lyle Berkowitz, MD, a med­i­cal in­for­mati­cist and IT en­trepreneur based in Chicago.

Lead­ing the charge to these rad­i­cal uses of tech­nol­ogy in health­care are a new wave of tech­nol­ogy lead­ers who are tak­ing a fresh look at ways in which that IT can im­pact health­care. Start­ing on Page 18, our ed­i­tors high­light some of the ris­ing stars who are find­ing new ways to in­cor­po­rate IT into im­prov­ing pa­tient care.

New tech­nol­ogy is par­tic­u­larly mak­ing an im­pact in how pa­tients’ con­di­tions are mon­i­tored by clin­i­cians. With fi­nan­cial pres­sure ris­ing to get pa­tients out of acute care fa­cil­i­ties and into less ex­pen­sive set­tings, providers must be able to check on vi­tal signs and other in­di­ca­tions of health to be able to in­ter­vene be­fore pa­tient con­di­tions worsen. Tech­nol­ogy is en­abling that, and start­ing on Page 20, Linda Wil­son de­scribes how new mon­i­tor­ing de­vices and the In­ter­net of Things is closely con­nect­ing doc­tors and their pa­tients.

An­other emerg­ing tech­nol­ogy, blockchain, is piquing the in­ter­est of tech­nol­o­gists in health­care. Al­ready in wide use in the fi­nan­cial in­dus­try, blockchain is be­ing stud­ied to see how it can be used in health­care. Manag­ing Edi­tor Greg Sla­bod­kin looks at the cur­rent state of blockchain in health­care in an ar­ti­cle be­gin­ning on Page 37. It’s still early, he notes, and much work re­mains be­fore blockchain im­pacts the way that we store and se­cure clin­i­cal records.

In many ways, health­care is ready for dig­i­tal dis­rup­tion. We look for­ward to cov­er­ing the ways in which tech­nol­ogy will change the face of health­care and bring new in­sights to clin­i­cians who want the best tools avail­able to care for their pa­tients. We hope that you’re ready for some dis­rup­tion as well.

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