Title : What Is National Prescription Savings Network
link : What Is National Prescription Savings Network
What Is National Prescription Savings Network
[music playing] welcome to the february breezing along with the rml session i'm claire hamasu the associate director for the national network of libraries of
What Is National Prescription Savings Network, medicine midcontinental region and today we've got a really interesting topic one to start off the new year it's five health care trends to watch in
2017 and it's being presented by our education and coordinator christian minter who's at the university of nebraska mcgoogan library so i will turn it over to christian but first i wanted to say that if you need captioning or would like captioning as you're viewing this session that i have put the url for captioning into the chat
box so christian i'll turn it over to you ok thank you claire so good morning everyone and working in the healthcare field is really fascinating i find there's always something new to learn and i've noticed a lot of articles recently discussing healthcare trends and hot topic issues for 2017 now my
presentation is by no means exhaustive but i selected a few topics that i found most interesting and i won't be going to in-depth but i hope to provide a high-level overview of some of these issues for you to keep an eye on this year the first trend i want to touch on is value-based care in the past few years there has been a transition from trying to move from
volume to value so under the volume based care there's a fee-for-service model and health providers are paid based primarily on how much they do so number of patients number of tests ordered number of procedures completed etc and the more they do the more money they make this also contributes to a wide variety and cost of procedures and tests
both nationally and within communities and there's no hard proof that paying more for a service guarantees a better outcome so with value-based care there's an attempt to link payment to quality and value it also seeks to make healthcare more proactive instead of only reactive so including focuses on overall wellness quality of care and
preventive care as key to better outcomes and lower healthcare costs so implementing a value based system has its challenges and we still have a ways to go for instance what is the definition of value how you set a national standard value and care while taking into account individuality of patients how you
quantify cost as a related value those issues are still being explored and work through there have been some federal policies that help encourage this shift to value-based care the patient protection and affordable care act encourages development of new methods and systems that provide high value care
with a focus on quality and efficiency and of course we all know there's a lot of uncertainty around the affordable care act right now which i'll touch on a little bit more later the centers for medicare & medicaid services or cms implemented matra the medicare access and chip reauthorization act in 2015 and 2017 is slated as the first
performance year for this legislation there's a lot involved in macra but one of the more important parts of this law and that it establishes new ways to pay physicians and implement value-based care it also provides funding for technical assistance funding to measure development and testing methods and enables
new programs and data sharing with a new administration at the white house there's been a lot of unknown surrounding what will happen with the affordable care act and even with macra so just last month over 70 health organizations including professional of health professional health groups insurance companies pharmaceutical companies and hospitals
they all signed a joint letter to the trump administration outlining ten principles of value-based care encouraging the invitation to keep value based care as a focus it's always kind of a wait-and-see to see how that will work out the shift in care models also effects medical education the american medical asso- the american
medical association added a third pillar the medical education the health system science will now be included along with basic science and clinical science ama also published a new textbook in 2016 the house system science textbook is the first text that focuses on providing fundamental understanding of how healthcare is delivered how healthcare
professionals work together to deliver care and how the health system can improve patient care and healthcare delivery the medical schools have been making changes in their curriculum for the past few years and now some schools are including courses related to value-based care so new physicians can be better prepared to discuss cost and value based
decisions as well understand national policies among the first universities to add value care courses are university of california san francisco university of minnesota and arizona state university there are several programs that initiative to help professionals and consumers navigate the healthcare system focus on value based care
these are just a few examples the choosing wisely program provides information to help improve communication between providers and patients and avoid unnecessary medical tests treatments and procedures and they have a little tool kit on their website where they have two lists of questions and topics that encourage healthcare
providers and patients to increase their communication and talk about how different procedures may or may not be necessary to manage their health care issues and this choosing wisely program is provided by the american board of internal medicine and the world health organization offers the choice project which is an international project that
provides information and tools for cost-effectiveness analysis and measuring the feasibility of strategic plans and the heart rhythm society has developed validated measures for measuring and recording quality in the field of cardiac pacing and electrophysiology so these are just some examples of the type of initiatives that are underway
to help providers and patients can navigate this new change in focus and how we deliver and pay for healthcare services so some of the continuing concerns with value-based care this year will be number one the new administrative- new administration's goals with the desire president trump's desire to repeal and
replace the affordable care act as there are some there are a lot of unknowns with how that will exactly happen and how that will impact this this focus has already started with switching from fee per service to value-based care and looking at measuring outcomes and and data for how we measure quality and there's also continue to figure out how will we define
value and how we measure value so where that data coming from how's it going to be collected how it will be stored how will we evaluate it how will be communicated and shared between health professionals and health organizations and developing appropriate payment systems so with the change in how care is evaluated there's also a change in how it will be reimbursed and what
will be in reimbursed and continue to prepare physicians and other health professionals to take their place in this new system so not only will they have their expertise in diagnosing and treating but they need to have expertise in how to talk about cost-effectiveness and how you evaluate data and communicate that with their colleagues and with their
patients so next issue i want to touch on is a consumer self-pay consumers will continue to face more decision-making and financial responsibility for their healthcare as they take on more out-of-pocket expenses there's some predictions of a consumer self-pay crisis
many consumers are experiencing problems with paying medical bills and this can lead to for some patients avoiding or postponing preventive care for an increase in the amount of debt that they're carrying it has been estimated that right now forty percent of customer debt comes from medical bills alone this can impact public health and
healthcare systems as a whole since avoiding preventive care causes more serious health issues down the road a better care- then the care needed in the end they end up being much more expensive and also impact hospitals and clinics because when individuals bear more of the cost it can be harder to collect debt from a patient than from an
insurance company which can lead to some loss in revenue so many consumers are facing an increase in their out-of-pocket medical expenses workplace health insurance premiums are expected to increase by five percent this year and health insurance premiums with through the affordable care act are expected to increase more than that
although they got them about me vary by state and also more consumers are starting to choose high-deductible health insurance plans because it ends up having lower monthly premium costs but that also on the the flip side means that they have higher out-of-pocket costs before insurance kicks sense so in some cases there are also employers that
are only offering a high-deductible plans again those are cheaper for employers plans for employers to pay-for so this means consumers have to pay more and this can often lead to avoiding or postponing care in addition to high-deductible plans ther'es also a rising prescription drug costs almost fifty percent of americans are taking at least
one medication and more than twenty percent of taking three or more so the cost of prescription drugs continue to rise each year and consumers face a choice of for some of them depending on the cost of the drugs they may not take their meds sometimes this leads to a lack of adherence to medication or they're looking at generic options alternative therapies or buying
drugs from other countries this also leads to as i increase in window shopping for options so this may be comparing quality scorecards ratings and reviews for hospitals and health providers or comparing cost of treatment options and procedures before making decisions now i have any of you ever had an experience where you have
shopped around for your health care before you made your choice either with using a provider or treatments if so please share in the chat box what that experience was like what type of tools did you use in trying to make that decisions i know for me i haven't yet had to do that i jsutgenerally i mean i shopped
around maybe if i have choices for health insurance but i haven't really made choices for my health care provider based on the cost or for different health care procedures so if you have ever had that experience and you want to share what type of tools you used or what you took into account as you made that decision or if you know of family members who had to make
that choice please feel free to add your comments in the chat box there are growing number of tools that are available to help with this process a company called healthsparq provides estimates on the cost of different health services i believe they usually partner with insurance companies so insurance companies that partner with
them they provide their consumers with options for looking at comparing the costs of different health services before they make their decisions and good rx provides discount tools and price comparisons for prescription drugs so if they're faced with a really expensive drug they can go to this website and see what type of discounts might be available or
compare prices for other options and iodine uses big data and crowdsourcing to help consumers select the right medication for them and with iodine different users come in and they create accounts and they share their personal experiences with the prescription drugs so they may have had certain side effects then they share that
and so a user can come to that website and based on what others have experienced and they can take that into account when they're deciding which drugs they want to use so hannah says one of the biggest factors location oh that's a good one using public transit transit so if the practice is far away
then it's definitely crossed off the list that's the thing to keep in mind and then alicia says her workplace provides access service called castlight health that provides reviews and cost comparisons for health providers awesome lorraine when looking for a new dentist used her insurance company list of providers to select doctor and compare these
individuals on various rating websites and becky shopping means picking people in your plan it's great to get recommendations or friend in terms of providers but you can't determine costs at least in her experience that is true depending on your health insurance you may be limited to who's in your network
so sometimes shopping around doesn't always work out awesome thank you guys for sharing so the continued concerns with consumer self-pay is number one price transparency and not all health not all the hospitals declare some health insurance companies are transparent with the prices and this type of transparency is
appreciated by consumers because it helps us make informed decisions but there are some in the healthcare field that are concerned the price may be given too much weight where the consumers may not fully understand what goes into setting that price or how the billing and coding is set up so what may be billed or code one way for one hospital
may be done slightly different for another there's also concern that certain services may become more price-competitive between local hospitals so for example i don't know if you saw a news article that went around internet maybe back in october of last year were a couple with the hospital had a baby by c-section and
they receive a hospital bill and there was a forty-dollar charge for skin-to-skin care after c-section and they sent this out on their social media and kind of went viral and this kind of general outrage by the public because skin to skin is considered evidence based practice and why would you be charged for holding your baby but the hospital
representative later explained that the charge was for an additional nurse to be present to ensure that patients safety during recovery but the way it was coded on the bill it looks like the charge was for the time spent actually holding the baby skin-to-skin those misconceptions or a miscommunication like that sometimes make health
hospitals and insurance companies a little hesitant to share their prices because the way that they explain things may not be easily understood by consumers another issue is provider patient communication so providers are encouraged to be upfront with their patients about any known cost and payment policies within their
institution or clinic so this may include if a patient has a different options for treatment and there may be a significant cost difference if the provider knows that up front their encouraged to talk to a patient or if their practice may have payment plans available for other options when a consumer doesn't have enough coverage
through the health insurance may not maybe not have health insurance at all and they're also encouraged to discuss with their patient any financial barriers so patients are often embarrassed to bring that up on their own but it's better to discuss that upfront versus having to go back to the conversation later on when a patient
does say that they just can't pay for something at that time and of course uh there's the continued impact of what rising costs have one consumers who simply cannot pay anything at all that either means carrying large amounts of medical debt or postponing of care until they have the money to pay for it this also relates to health insurance
literacy and selecting appropriate insurance or learning how to use health savings accounts now these are some of the issues to keep in mind as we look at the consumer health or the consumer self-pay issue this year the next trend i want to talk about this telehealth and telehealth in and of itself concept has been around for awhile
telehealth and telemedicine are often used interchangeably although there are some organizations that make a clear distinction between the two the term telemedicine was first adopted in the sixties or seventies and mainly to acheive physicians providing care from a distance however the term telehealth has been
gaining popularity and is now more commonly used so some view telehealth as a broader concept that includes remote healthcare services that are both clinical and non-clinical with telemedicine being a narrow focus on just remote clinical services but there are other organizations define both terms meaning the same thing and
encompassing all aspects of remote healthcare services so just keep that in mind when you hear people talk about telehealth and telemedicine sometimes they're different different definitions that people have until help can be provided to a variety of electronics and telecommunication technologies which includes live two-way video interaction
or something called store-and-forward which is when you're sending recorded videos or digital images to health professional to evaluate or render a service outside of a live interaction so maybe take a video you want a consultation but you're not able to do a live interactions you send them the video of yourself as the patient or any
images from x-rays or photos and then the health professional responds at a later time there's also remote patient monitoring with using patients personal health data collected from patients and transmitted to health professionals and there's mobile health with using mobile devices for text messaging alerts about disease
outbreaks etc and telehealth and telemedicine has been predicted to have great promise for many years now but only just now within these last few years that technology and the healthcare system has finally caught up to kind of fulfill the original hype so one issue is that we now have a much better
technology and tools that make it so much easier to stay connected as seamlessly provide remote services the internet connections much faster than the past the majority of health professionals and patients have constant access to some type of mobile device with wi-fi and video this allows communication by phone email or web cam
health professionals can also communicate with other health professionals and get consultation from each other for a split second healthcare decisions there are also a lot of new wearable devices which i'll touch on that in a few minutes to the track patients vital signs and tramsmit data remotely and
hospitals and health insurance companies and healthcare organizations are now collaborating provide telehealth apps and these apps provide non emergency care to virtual physicians visits for consultations they're offered as an alternative to urgent care facilities so has anyone here used telehealth
before how comfortable are you with remote care you can type your comments in the chat box and when talking about it think about in the broader context of a type of communication or service health care service that you receive remotely and how did that work out for you do you prefer in person over remote or does it
not matter or depend on may depend on the particular situation so another issue in addition to technology there's also a broader scope and broader methods for the use of telehealth in the past the focus has been primarily on increasing access to patients in rural and underserved communities
this is still a priority but it now includes convenience for those who are also in more metropolitan communities so as i mentioned before many organizations are offering low-cost apps and services for virtual visits and usually these are under fifty dollars per visit and the virtual visits are available twenty-four-seven versus the amount of time it takes to
schedule in person face-to-face visit with a physician which depending on your issue it may take a few weeks and in the past there's a bigger focus on acute conditions like trauma or stroke and now there's interest including other health conditions since over eighty percent of healthcare costs are from chronic conditions this can have a big impact on
preventing and managing those illnesses and helping to reduce cost and in the past telehealth services were primarily provided in a hospital or clinic setting but now with mobile devices wearable technology and better internet patients can receive the services wherever they are so jessi says that she has used chat or email with a
doctor within ehr and it worked well when the doctor responded yeah i agree i've done that as well and it kind of varies for me i've had some health providers that respond really quickly and others it may take a little time i think is probably one of the more common ways now for those who use a patient portals to communicate with
their health provider and really convenient you send them a message and they'll see it dana says she has used telehealth several times and it saves her time and money answered needs and there was no charge for that in person doctor visits so that's where we're headed with telehealth where it improves access is also saving us time
and money where we don't have to travel to that in person visit and pay for and pay as much for for doctors visit so there have been some recent policy reforms to help move telehealth forward in 2015 the 21st century cures act passed and it stated that any expansion of telehealth services under the medicare program soon recognized telemedicine as delivery of
safe effective quality healthcare services by healthcare provider using technology as the mode of care delivery i would also cause it calls for the center for medicare and medicaid services to provide a detailed report to congress on use of telehealth within medicaid of the expanding capacity for health outcomes or echo act has set the
stage for our national network of telemedicine platforms to provide an education training and collaboration for health professionals in rural and underserved areas and this is the first standalone telemedicine bill so it's important to keep in mind telehealth is not only about the services for patients but also looks at
professional development for health care providers so being able to remotely provide education and training and that causes communication with other healthcare providers to improve how they provide care and the chronic care act was introduced in december was just a couple months ago it has not passed yet but includes provisions for expanded use
of telehealth in accountable care organizations medicare advantage and for treating stroke and then the connect for health act is almost ready to be reintroduced called for the removal of significant restrictions in the use of telehealth and medicare and medicare and medicare medicare advantage's plans and so and we have our you know improved
technology we have a broader scope and now we have legislation that's making it easier to implement telehealth services so there are still some continued concerns one challenge is figuring out the whole reimbursement issue it's pretty easy to reimuburse to figure out how to reimburse for for it for face-to-face visits but some health
insurance companies are trying to figure out the best way to implement telehealth into the reimbursement plans there are an increasing number as i mentioned before an increasing number of health insurance companies and employers there including some aspect of telehealth in the insurance plans as there may be some some type of service or app available to
consumers and then there's concerns that patients receiving telehealth services may not be receiving the same quality of care as face-to-face and how do you measure that and could there be the potential for overprescribing some prescription drugs so there needs to be more work done with evaluating outcomes and
deciding how the best way to implement telehealth as a regular part of the healthcare system and the third challenge is state laws so different states have different laws local laws and definitions for "telehealth" so not all states will allow reciprocity for the practice of medicine so if the health professional want to offer remote care across state lines they may have
to become licensed in additional states so this is something that needs to be worked out and standardized across the country but it's still exciting to see the potential development with telehealth the next trend i want to touch on is wearable technology which i think is really cool and wearable technology and healthcare takes regular items like clothes skin
patches and accessories such as watches wristbands glasses and makes them smart by embedding sensors to collect data to measure different aspects of health and physical activity you may be most familiar with wearables as fitness trackers so have any of you ever used a fit bit an apple watch or a similar wearable to help you meet your
fitness goals you put your comments in the chat box and let us know which item you use if you like it did you just stick with it out alright hannah says she wears a fit bit every day aida says that she's wearing a fitbit right now and beth has a fit bit on her wish list and bobbi wears both the fit bit and apple watch
that's awesome yeah fit bit kinda have the corner market on fitness right now a lot of people are using either fitbits or apple watches and in addition to wearables that are sold directly to consumers there are wearables to help professionals can use to improve patient care so using body sensors as part of remote health monitoring enable
providers to see a big picture of the patient's overall health more than can be provided by just a single test these sensors collect real-time data on vital signs such as heart rate respiratory rate blood pressure temperature etc in some cases providers may receive alerts when something is wrong sensors can also monitor posture and detect trips or
falls and patients that are high risk for falling and then there are also head mounted wearables to assist with surgery imaging and training simulations and today i'm going to focus more on body sensor wearables created for consumers so even though there are a variety of wearable tech being developed the most
popular area as shown by our comments in the chat box office and now has been fitness trackers but there are predictions for growth in other areas this year so these are some other areas where wearable consumer products are under development this is by no means an exhaustive list but some interesting products i want to highlight if you have others
that you have used besides fitness trackers or have heard about your really excited about the potential please share in the chatbox so starting with anxiety and mindfulness there's a company called spire that offers a wearable clip it is already on the market and you can clip it to a wasteband or to a bra and it tracks breathing
patterns and whenever it detects the irregular breathing it buzzes to get your attention and encourage you to slow your breathing and relax in a few months a company called indiegogo plan to launch a new project called a new product called zenta and this bracelet will track heart rate and heart rate variability galvanic skin response
temperature and breathing patterns it will help users track of their emotions so when they're happy or sad or angry and provide coaching tips and breathing exercises via artificial intelligence algorithms and both of these products help address the lack of psychiatrists and therapists that are available within many communities so not all communities
have easy access to therapy or therapists so using apps like this can help with managing anxiety and minduflness and really interesting about reading about this spire products that buzzes when ther'es irregular breathing and someone commented that it helped them identify situations in their life that were causing stress so it tracked not only
does it do buzzing but it keeps track of every time you have some irregular breathing so the person went back and they looked at the data and everybody every time they interacted with a certain person they had stress and it it wasn't something they had been mindful of but this was a relationship with with some issues
that they had to work out so it can be used in different ways not only with the physical side of things but also realizing when there are certain situations or people that you may need to address how you interact them or how they are influencing your well-being bloomer tech is currently developing a smart bra for women's heart
health the bra has flexible walkable circuits that are sewn into the lining and it measures electric electrocardiogram signals and other biometrics and then real-time be a woman smartphone and to a doctor so if you're looking at the screen little images one on the far left with a hand holding the piece of equipment that is the flexible
circuit that would be sewn inside the bra can bend very easily and so by collecting every daily data about of the biometrics it providse context so when a woman does have adverse symptoms for her heart health or sometimes a discomfort with her heart and they'll be able to look at the big picture and not just that one little moment and also
include any prescriptions when a woman is using and sends notifications for activities so if she's been sitting down all day it might reminder to get up and walk to improve your heart health and for diabetes self care of patients with diabetes have to constantly monitor their diet their lifestyle and their glucose levels some new developments in
technology seek to make this process as easy as possible and minimize disruptions to daily life some companies are working on skin patches that can monitor glucose in the sweat and also automatically release the correct dose of insulin from the patch into the skin there are some patch
systems that already exists but the goal is to have a patch that monitors glucose records this data and then can wirelessly transmit it at this moment they can track and transmit it but not wirelessly yet i'm and then google is currently exploring the potential for smart contact lens that can monitor your glucose level through the eyes through
a persons tears and the image on the screen in the middle is a prototype of what that smart contact lens might look like and they're also development for socks that diabetics can use that contain sensors to identify areas of the feet with insufficient blood supplies and then with fitness wearables that will always be an important area but now
they're trying to move beyond just tracking to more interactive features so under armour now offers three different smart running shoes they do track data about the run so persons stride their pace how much mileage they put on their shoe and think through the smartphone out but now includes a jump test and this jump test once you've done
the base jump test it measures airtime on a sequence of jumps so like you have your bae test done you can use that to compare and repeat the test before you do a run and the test will check to see if you have any muscle fatigue and if it detects muscle fatique then it will provide suggestions on how to alter your workout intensity so you don't
injure yourself and i company called athos offers compression shorts and shirts that benefit muscle focus to work out as a lot of fitness apps are focused on you know running walking and so these compression shorts focus on weight training and they previously only been available to professional athletes and now they're
becoming more available to everyday consumers and so they're looking at new ways to measure fitness and and prevent injury during workout so what this means for consumers and that the new developments and wearable technology continues to shift towards more self-reliant care for consumer so provides more options for measuring and
managing health without having to enter a doctor's office or hospital with access to data right at your fingertips and built-in notifications and reminders for how to adjust your wellness activities consumers can take on more responsibility for preventive care and self-management of chronic disease a new wearable tech seems
to be more proactive instead of this recording and storing data and reacting after the fact there can be real-time adjustments and proactive tips provided to the users and this additional data can potentially provide a more complete patient profile that captures day-to-day behaviors that are normal for each individual user and help to detect
problems or regularities much earlier there are some continuing concerns and wearable technology has a lot of great potential but there is concern whether there's enough interest in these additional areas besides fitness to make it worthwhile to continue developing technology and there's often concern about the continuity of use so we had
some comments earlier and from participants that are still using their fitpits and apple watches but research has show that from one third to a half of all users fitness trackers stop using them after six months so there's a lot of excitement upfront but then they get abandoned and so there's concern for developing the
additional apps or other health issues will the same thing happen as well or will people will be enough consumer interest to keep using it and then despite the advancements in technology battery life for wearables hasn't improved too much some lasts only a day others five days of fitness trackers it varies but if you're looking at something like
this kinda like monitor your glucose levels and you know inject insulin automatically or monitoring your heart and on a regular daily basis you're going to want a battery that lasts long time so you don't have to constantly remember to recharge it i so this is one area where they're still looking at developing a better
battery there are also data concerns there's a lot of data being stored a lot of data being sahred and some of the issues is data is stored on local devices and transmitted without being encrypted which may not be a huge issue if you're just tracking how many steps you took in a day but when you start talking about more serious health issues you're going
to want to have some safety protocols in place so that not anyone can access your data while being transmitted or even access problems from your device from your app or on your phone or whatever other device you may have and a lot of people use insecure wireless connections so if your just out and about your accessing public wifi i that does
not have the security in place to protect your data and then there's a lack of policy standardized policies for keeping software patches up-to-date for mobile devices so right now wearable are not a big target so not have a huge concern but as they become more popular they're going to be at a higher risk for hacking so these are
issues that are going to need to be addressed as technology progresses and the last trend i'm going to touch on is the affordable care act and i don't have a whole lot of details to share about this because this is very much up in the air and this is a big issue that everyone's looking at what's going to happen with this legislation and so the
patient protection and affordable care went into effect in 2010 the goal was to increase health insurance quality and affordability lower uninsured rate and reduce healthcare costs and we're in a big wait and see and this is a big wait and see if you like i said within healthcare during his campaign president trump originally
said that he would repeal and replace the affordable care act right away once he became president and this left a lot of people worried about millions of people who could potentially be left without insurance while replacement was worked out but in a recent interview president trump admitted that the process would take a little longer
possibly at least into next year so for 2017 on the affordable care act health insurance marketplace and plans will remain in-tact it remains to be seen if they will attempt to gut the whole law or leave the framework in place and replace certain parts of that and open enrollment period for 2017 has has ended a little over nine million
people bought insurance through the federal marketplace this is slightly lower than last year and there is speculation that because of all the unknowns with the new administration coming into place and whether or not the plans would even be available through the whole year that may have discouraged people from discouraged many
people from on of purchasing health insurance through this marketplace this year currently a big issue we're facing with the system is that there are not enough young healthy people signing up for coverage through the federal marketplace and this is necessary to offset cost for those who are sicker and use the
insurance a lot so this has contributed to some of the increase in health insurance premiums through aca and some large insurance companies have pulled out of the market place due to the high risk pools it's just costing them too much money because most of the enrollees have a lot of health problems and they're using their
insurance often so far etna and unitedhealthcare have pulled out most if not all the healthcare exchanges for 2017 antimatter has announced that it will stay through the end of 2017 but will not participate in 2018 so there's a lot of uncertainty right now and obviously this is a big issue to keep an eye on as the year
progresses so those are my five trends to watch for the year if you have any questions or comments please feel free put them into the chat box i am curious for you all on what you based on what you learned about some of these trends today do you see a role for librarians in these trends and i have a few ideas i'll be curious to see what you all have
before i share and oh you're welcome kitty so if you have any questions for me i am by no means an expert on this but i'm happy to try to answer any questions you may have or if there's another important trend that you've heard about that i didn't touch on today and you want to sahre feel free to type that in the chat box too
and i will say for those of us thanks beth, beth says that librarians can certainly be face to help consumers as they become more responsible for finding and determining the direction for their own health care yes that's definitely true i think we're going to continue our roles as educators and navigators because they have a lot
of options now and they have all these different apps and tools they're looking at their still continuing to learn about their health insurance options and even learning about healthcare policy and how thats having an effect on our everyday life would definitely be safe for us to continue educating consumers yes and dana posts the librarian to
help direct consumer sites like cnet that provide reviews definitely and i think for librarians that are working in an academic environment if your medical school is currently redoing their curriculum even though we may not be experts on value-based care i think that there's still space for librarians take advantage of that opportunity and show how
how they can take part in in medical curriculum claire shares that university of utah's library has set up an app bar in the hospital to help patients family members and providers definitely do you want to share a little bit about that claire? sure so our app bar i includes both hardware and apps of course and so people can wander
into the app bar and find out if they have a condition or something that that they want to track or they want to use an app for we've got people we've got students actually from our our health college who are staffing the app bar to help them locate an app or to choose to choose an appropriate device for them to
use their app with thank you sure so any other questions or comments and then i will add that i will put together a short reading list i didn't have it ready for the presentation today but once our recording is available online i'll send out an email about that and also include information about how you get a copy of my slides if you like and a
reading list in case you want to follow up on its any of these trends ok this is claire again if there you can continue to put q- questions in and your your ideas and but while we're waiting for more things to happen in the chat box we surely would appreciate it if you would click on this url and complete our participants form it helps us a lot
because we're a federally funded program and it helps to know how far our reach is and how many people attend our sessions so that the national library of medicine are funding agency realizes that we are doing a good job out here and and providing great information to our network members so we would really would appreciate it if you fill out this
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