Artificial intelligence. Block chain. Wearables. Smart phones. Chatbots. Various combinations thereof.

All these tech wonder-things are working their way into workers' comp…or at least trying to. I've been tracking this sporadically (who has time to monitor all the press releases announcing this revolutionary app or that whiz-bang solution??) and have come to a few conclusions.

1. With rare exceptions, the companies developing and offering these “solutions” are founded and run by either a) clinicians or b) techies.
2. Those run by techies seem to think they can stitch together a wearable thingie connected to a smartphone app and voila'! they've built a substitute for/adjunct to physical therapy.
   Of course, the techies KNOW tech, understand AI and video tracking of movements and integration of smart-phones with remote devices. What they do NOT know is medical stuff, what really happens in rehab, the role of the therapist/prescriber/patient, the realities of the therapy process, where things break down in the patient/therapist process/interaction and why. And a lot of other stuff I can't think of this second.
   Oh, and patient engagement. That's kind of super-important.
3. Those run by clinicians really understand the care process, clinical issues, the reality that effective therapy and recovery is driven largely by patient compliance. What they don't get are the tech challenges, the singular importance of reporting information back to other stakeholders, the limits of technology and adoption/effective/consistent use of technologically-driven “solutions”.

So, tech-centric approaches rarely address patient engagement, compliance, or the obstacles thereto.

It doesn't matter how great your tech is if people a) can't figure out how to download it; b) don't have a smartphone; c) can't figure out the app/wearable/bluetooth connection/whatever; d) it isn't specific to the needs of each individual patient (language, physical characteristics/comorbidities/functional limitations/pain levels, reading level, therapy needs and evolution of same…).

By Joe Paduda

Courtesy of Managed Care Matters

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