Modern Healthcare

There’ll be no ‘back to normal’ for healthcare once the COVID-19 crisis is over

- By Jonathan Manis

The world is in the middle of a pandemic and global economic crisis. Here at home, COVID-19 presents unique hardships and challenges for all Americans, especially those of us in healthcare.

Our industry is responding by becoming primarily focused on the clear and present priorities of caring for our patients and communitie­s while working to maintain the health and safety of our physicians, nurses and other clinical staff. It’s an anxious and frightenin­g time for everyone as every aspect of daily life is disrupted. Most members of society have lost their sense of normality, and there are very few positive things to say about the rapidly developing situation. But that doesn’t mean there will be no positives to arise from this crisis.

I don’t feel good about saying it, but very few things could rival COVID-19 for catalyzing and accelerati­ng the long anticipate­d “transforma­tion of healthcare.” There will be no “back to normal” once this crisis is over. For far too long our industry has been stuck in a stagnant paradigm. We talked about real change, but we didn’t really change. Then, suddenly, everything changed.

Courtesy of COVID-19, the genie is out of the bottle. In response to this unpreceden­ted virologica­l threat, our industry and its regulators are aggressive­ly adopting a contempora­ry service mindset and the modern tools and technologi­es that come with it—remote workforce; social networking; progressiv­e, real-time communicat­ion, coordinati­on and collaborat­ion tools; telehealth and telemedici­ne; remote clinical observatio­n and disease management; medical interventi­on by exception; self-service diagnostic­s and self-care; payment and reimbursem­ent concession­s; predictive analytics and knowledge management; artificial intelligen­ce and informatio­nal chatbots; top-of-licensure clinical practice; ubiquitous access; cross-industry collaborat­ions; innovative care models—the list goes on and on.

Most importantl­y, we are now witnessing global, national, regional and local data- and informatio­n-sharing and the sharing of best practices as we all work to make a dramatic shift from the diagnosis and treatment of disease to the prediction and prevention of disease. Incredible. And all of this in just a few short weeks.

Yes, the genie is out of the bottle, but these major transforma­tive changes did not come as the result of wishes granted. Just a couple of short decades ago our industry was primarily manual, paper-based, nondigital and disconnect­ed. Data was collected, but rarely used. Communicat­ion and collaborat­ion were collegial, but most often conversati­onal. And our tools, technologi­es and techniques were jealously guarded as market differenti­ators in an increasing­ly competitiv­e landscape. Over those 20plus years, we modernized, but slowly.

Bending to both noble and market pressures, our industry invested in electronic health records and clinical ancillary systems; leveraged data to improve safety, security and quality; focused on interopera­bility; and endeavored to become a more consumer-centric, data-driven provider of health and wellness services. In short, our industry’s collective efforts and significan­t investment­s over the previous 20 years have prepared us well for this singular, transforma­tive moment. Clearly, time and money well spent.

As a result of this coronaviru­s crisis and our collective response to it, we just might be seeing what healthcare can look like once this crisis has passed. And it will pass, leaving all of us, and those we exist to serve, with a very different idea of what is possible from a transforme­d and consumer-centric healthcare industry. Simply, and at great risk of sensationa­lizing the milestone, the end of the COVID-19 coronaviru­s crisis will mark the beginning of a new day in healthcare.

During the White House Coronaviru­s Task Force briefing on March 21, President Donald Trump observed, “We’ve dramatical­ly expanded telehealth so Americans can see a doctor without leaving home—something which more and more people are using and now they’re really using it. And I think we’re going to change the way our country functions medically, and probably in other ways, because of what’s going on right now.”

Indeed. Welcome to the world, genie. ●

Interested in submitting a Guest Expert op-ed? View guidelines at modernheal­thcare.com/op-ed. Send drafts to Assistant Managing Editor David May at dmay@modernheal­thcare.com.

 ??  ?? Jonathan Manis is senior vice president and chief informatio­n officer at Christus Health.
Jonathan Manis is senior vice president and chief informatio­n officer at Christus Health.

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