David Lee Scher, MD, Owner & Director, DLS Healthcare Consulting

Remote patient monitoring will lead value-based healthcare

April 25, 2013
Traditional health insurance reimbursement to providers (though "payment" is a more appropriate word) for healthcare services and products is at the root of our healthcare crisis. More

Five imperatives of patient-centric healthcare

April 04, 2013
In previous posts I discussed how patient-centric care differs from patent-centered care and how patient empowerment must precede patient engagement. I would like now to delve into what I consider critical elements of patient-centric care. They all involve technology to various extents. More

Remote patient monitoring, part 3: The ideal RPM system

April 01, 2013
Remote patient monitoring may serve patients who are in the post-acute care phase of recovery from a hospitalization as well as those with chronic diseases. More

Remote patient monitoring, part 2: Operational models

March 26, 2013
In a previous post, I discussed some generalities of remote patient monitoring (RPM).  The current value of the RPM market is estimated at $10.6B. There are diverse clinical and non-clinical environments in which RPM might be used.  More

Five fallacies of remote patient monitoring

March 19, 2013
As defined in Wikipedia, remote patient monitoring (RPM) is “a technology to enable monitoring of patients outside of conventional clinical settings (e.g. in the home), which may increase access to care and decrease healthcare delivery costs.” More

What does the ideal hospital mHealth strategy look like?

March 12, 2013
Most hospital IT administrators are presently dealing with implementation of Stage 2 of Meaningful Use as well as planning for conversion to ICD-10 coding. Among the more advanced institutions, the topic of the day is development of a mobile strategy. The vast majority of physicians and nurses are using smartphones for professional purposes, mostly for reference purposes. I will discuss what I see as the most useful ways in which mobile health tools can improve processes and care. More

Patient engagement does not mean patient empowerment

March 01, 2013
The term "patient engagement" is everywhere now. It's part of the vernacular in advocacy circles, government, health technology companies and payers. It used to signal a new healthcare ecosystem in which the patient is more of a spotlighted consumer - where reimbursement hinges on patient satisfaction, where the shortage of physicians dictates new care paradigms and where the cost of healthcare must decrease as well as be redirected to wellness and home care from the more expensive treatments of preventable chronic diseases and institutional care. More

Five ways of achieving patient engagement, Part 2: WITH technology

February 15, 2013
In my previous post I discussed what I believe to be the most important paths to patient engagement without technology. I would like to now discuss how technology can promote patient engagement. More

Five ways of achieving patient engagement, Part 1: WITHOUT technology

February 14, 2013
If one looks at communications revolving around healthcare these days, whether emanating from political, healthcare economics, clinical or technology spaces, the term "patient engagement" is invariably found as one of the cornerstones of the conversation. This is no more evident than in the digital health technology space. One would think that patient engagement is only possible by hitching a wagon to the technology horse. More

The 5 pitfalls of designing a medical app

January 31, 2013
As someone who does not design apps, I will offer a perspective that covers topics raised by different stakeholders concerning medical app development which might be of interest. More

Cardiac patients will benefit from digital health technologies

January 25, 2013
Cardiovascular disease - specifically, sudden cardiac death - is the number one killer in the U.S. and most westernized countries. More

Business models of digital health technologies: Implications of ROI

January 22, 2013
In my last post I discussed the problems with measuring the ROI of digital health technologies. One of the problems is that the sector doesn’t fit neatly into traditional healthcare business models. More

Measuring the ROI of digital health technologies

January 17, 2013
Alere's purchase of Medapps prompts me to discuss a question posed to me daily: "What is the ROI of digital health technologies?" More

Five big developments for digital health in 2013

December 31, 2012
I read with interest a few articles discussing predictions for digital health technologies for 2013. One such amusing article in Informationweek.com had some which were in more detail, such as, by the end of 2013, the implementation of such a system will be "only (five) years away from being a reality ..." Meanwhile, a truly welcomed breath of intellectual and reality-filled fresh air was furnished by an article by David Shaywitz in Forbes. More

Patient portal adoption

December 19, 2012
Wikipedia defines patient portals as "healthcare-related online applications that allow patients to interact and communicate with their healthcare providers. Some patient portal applications exist as stand-alone websites and sell their services to healthcare providers. Other portal applications are integrated into the existing website of a healthcare provider. Still others are modules added onto an existing electronic medical record system. What all of these services share is the ability of patients to interact with their medical information via the Internet. …" More

Rep. Honda's bill won't ease us back from the healthcare cliff

December 06, 2012
The term 'fiscal cliff' is familiar to most Americans and many outside observers of this periodic political posturing around the need to address hardcore financial issues facing the country. If both political parties hashed out their differences and came to a (very) hypothetical agreement of significantly higher taxes, markedly reduced spending (including modest cuts to Medicare providers and Social Security), with a plan that would be estimated to decrease the deficit to almost zero, there would still be a large elephant in the room: rising healthcare costs. More

Why payers are critical to mHealth adoption

December 03, 2012
In previous posts I have talked about the importance of some of the major stakeholders (physicians, non-physician providers, hospitals and caregivers) in mHealth adoption. For a few reasons, insurers will also play a pivotal role in the development and adoption of patient-focused mHealth technology for wellness as well as for the management of chronic diseases. More

Adoption of mHealth technologies: UK vs. USA

November 28, 2012
Jeremy Hunt, the Secretary of Health for the UK, recently said, "While mobile broadband technology is revolutionizing most walks of life, there is a problem once people encounter the relatively antiquated systems of the NHS." More

The future of medical apps: A call to arms for the end of flimsy science

November 19, 2012
A recent article in the Washington Post raises concerns about the legitimacy of mobile health apps. More

The current state of mHealth: An analysis of the Pew survey

November 09, 2012
A well-conducted survey on the use of cellphones for healthcare has just been released by the Pew Internet and American Life Project. The study was conducted in August-September of 2012. I will review some of the major and more interesting statistics from the study then discuss my views on them as well as the opportunities the survey presents for the mHealth app sector. More