Digital Health promises to transform healthcare in this decade. We have gone from “low tech” telephones, fax machines, dictation lines, desk-top electronic medical records, and data storage centers to video visits, texting, emails, smart phones and other mobile devices, and to higher forms including artificial intelligence, cloud data storage, and blockchain. However, letting go of legacy applications and then implementing the best available technology for clinical use has been challenging. This chapter will review the factors that contribute to the difficulty of moving from old to new tools. Specific examples will be video, electronic medical records and remote patient monitoring. The process of evaluating a new technological application will be described and a standardized framework proposed. We will finish with a discussion around local and scaled steps that can facilitate, support and sustain a patient-centered application of the best technology in healthcare. A call to action for the reader will be presented.
Part of the book: Smart and Pervasive Healthcare