LAS VEGAS – Harry Greenspun, MD, asked attendees in a jam-packed room: How many of you have a personal health record?

Very few hands shot up.

“We’re at HIMSS and only a few people have a PHR,” chuckled Greenspun, Director of the Deloitte Center for Health Solutions.

That micro-sample is today’s reality – but it comes also at a time when the healthcare industry is shifting toward new payment and care delivery models.

According to a new report that Accenture is planning to circulate at HIMSS16 on Thursday, in fact, 77 percent of consumers and 85 percent of doctors said that using wearables can help patients become more engaged.

[Also: See photos from Day 2 of HIMSS16]

What’s more, 40 percent of participants who are using wearables have either spoken about or shared that data with their doctor.

“It’s a recognition that consumers are willing to share information with their doctors,” said Kaveh Safavi, MD, who leads Accenture’s health practice.

In return, however, 77 percent of patients want full access to the same EHR data their doctors see, according to a different report Accenture released at HIMSS16 on Tuesday.

“Patients are used to full visibility in their information everywhere else,” Safavi said, pointing to banking and retail as prime examples. “Forces are steering us in the direction of full access to health data. In the long-run, market leading providers will recognize this and start competing for patients on a retail level.”

IBM’s Judy Murphy, who previously served as chief nursing officer at the Office of the National Coordinator for Health IT, said that payers and providers are thinking about patient engagement, particularly under their population health work, and rewarding the kinds of behaviors that they know will both keep people healthier and help better control costs.

“As we think about the continuum between payer and provider in terms of population health,” Murphy said, “the boundaries are starting to shift because everyone has skin the game.”

She continued that retail experiences are beginning in the healthcare industry and, as such, if a patient needs a mammogram and has four options of places to get it, smart consumers will consider the choice based partially on price.

That world may not be as futuristic as it seems, either.

Deloitte’s Greenspun presented data showing that half of American consumers are disengaged in their health.

“I’m a glass half-full kind of guy,” Greenspun said “So I think of the other half as pretty engaged.”

The big challenge that remains, Greenspun said, is getting patients to make the right choices about health and preventions when they’re not right in front of a doctor.

Twitter: @SullyHIT

This story is part of our ongoing coverage of the HIMSS16 conference. Follow our live blog for real-time updates, and visit Destination HIMSS16 for a full rundown of our reporting from the show. For a selection of some of the best social media posts of the show, visit our Trending at #HIMSS16 hub.