[PHOTOS] iHT² Health IT Summit Atlanta

Will direct patient access to lab results increase PHR use?

Institute for Health Technology Transformation By Waco Hoover, CEO, Institute for Health Technology Transformation (iHT²), April 20, 2014

A new federal rule on the exchange of health data removes legal barriers that prevent medical laboratories from providing lab test results directly to patients and their designees, such as developers of personal health records systems. Many health record system vendors and labs have been pushing for an update to the Clinical Laboratory Improvement Act (CLIA), which regulates 239,000 healthcare testing labs, suggesting that it unnecessarily prevents patients from playing a more active role in healthcare decisions. Under the new rule, labs will be required to provide patients copies of their lab test results within 30 days of a request. The new rule requires labs to address how they can effectively get this data to patients within the 30 day period.

Quest Diagnostics’ senior vice president and chief medical officer, Dr. Jon Cohen said, “HHS’ final rule means millions of Americans who previously could not access their laboratory and other healthcare data from clinical laboratory companies like Quest can now do so without first requiring the approval of their healthcare provider”. How will lab like Quest (NYSE: DGX), Lab Corp (NYSE: LH) and other firms electronically deliver this data to patients? Personal health record software is arguably the most effective mechanism to deliver lab results to patients in a timely, secure manner. Labs may seek strategic partnerships with vendors providing personal health records.

Some of the largest health IT vendors like Cerner (NasdaqGS: CERN), Allscripts (Nasdaq: MDRX) and Epic (OTC: EPOR) all have PHR tools that are offered to their customers may be ideal candidates to partner with. Alternatively, lab services firms may choose to license tools from groups like MMR Global (OTC: MMRF), who has an extensive portfolio of patents relating to PHRs. Incidentally, MMR Global already has existing licensing agreements with Cerner, Walgreens and pending litigation with Webmd, Quest Diagnostics, and Allscripts for their PHR patents. Labs can potentially license the technology and offer these tools direct to patients. Regardless of the tack they take, providing information such as lab results direct to patients moves the U.S. health system closer to an empowered patient, tracking their health progress and proactively working with health professionals.

About iHT²
Institute for Health Technology Transformation (iHT²) is the leading organization promoting the collection of private sector executives and public growth and effective use of technology in the health sector. Through the joint efforts of the Institute provides programs that stimulate innovation, education and a critical understanding of how to improve the technological applications, solutions and equipment quality, safety and efficacy of health care. The Institute is working in partnership withHealthcare Informatics and was acquired by the Vendome Group, LLC, Healthcare Informatics’ parent company, in December 2013. Vendome produces high-quality information for professionals in the healthcare industry and serves their needs through online, print, mobile, webinars and face-to-face engagement.  For more information, visit www.ihealthtran.com.

iHT² Health IT Summit Atlanta – Case Study “Analytics Strategies to Improve Quality & Outcomes” with @tstrome


Trevor Strome, MSc, PMP
, @tstrome

Analytics Lead
WRHA Emergency Program
Assistant Professor, Department of Emergency Medicine
University of Manitoba

iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations.  They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices.  This session will be presented by a thought leader in the provider, payer or government space.

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iHT² Health IT Summit Atlanta - Case Study “Analytics Strategies to Improve Quality & Outcomes”

 

10 things EMRs won’t say

EMR1. We come with a large price tag. Doctors are being encouraged by the federal government to ditch their messy handwritten paper records, replacing them with sleeker, quicker electronic health records that should improve patient care and reduce health spending. More physicians are coming on board: in 2013, 78% of doctors’ offices said they were using some form of electronic health records, up from 18% in 2001, according to the Centers for Disease Control and Prevention. But so far, the transition to electronic health records hasn’t delivered the ease of use and savings advocates promised — and the choppy transition is having a ripple effect on consumers.

Full Story 

OpenNotes Expands Regional EHR Adoption

OpenNotes Expands Regional EHR Adoption

By Scott Mace, April 4, 2014, first posted on HealthLeaders Media

Kaiser Permanente Northwest is one of several healthcare providers participating in an effort to roll out open access to clinician notes as a standard of care throughout the Pacific Northwest.

A consortium of nine healthcare provider systems is targeting more than one million residents of Oregon and southwest Washington State in 2014 to provide open access to their physicians’ notes in electronic medical records.

The announcement this week marks the first time that OpenNotes, a national movement that urges health-related organizations to adopt open access to clinician notes as a standard of care, has been embraced simultaneously throughout an entire region.

Full Story 

Interview with Randy Thomas, Performance Analytics Service Executive, Encore Health Resources

Randy Thomas, Performance Analytics Service Executive, Encore Health ResourcesThomas has over 25 years of experience in HIT with a focus on analytics and the re-use of data to support the performance improvement efforts of healthcare organizations. Having served in a variety of leadership roles in strategic consulting and product management, Ms. Thomas offers a seasoned perspective on how to drive measurable results through the use of business intelligence in healthcare.

As a distinguished faculty member for the Institute’s Health IT Summit in Atlanta, taking place, April 15-16, 2014, Thomas shares insight into her role as a performance analytics service executive.

Institute: Can you please start by giving us a brief overview of Encore Health Resources and your role as Performance Analytics Services Executive?

Thomas: Encore is a healthcare IT consulting services firm focused on helping healthcare providers implement and optimize HIT technology to drive more efficient healthcare delivery and obtain added value from the reuse of data for analytics and measurement. I bring to my position more than 25 years of experience in HIT, with a focus on analytics and the re-use of data to support the performance-improvement efforts of healthcare organizations. I’ve served in a variety of leadership roles in strategic consulting and product management. I believe I offer a seasoned perspective on how to drive measurable results through the use of business intelligence in healthcare. Currently I’m an associate partner at Encore, with responsibility for our performance analytics practices.’

Institute:  What are 2-3 challenges healthcare providers are currently facing with healthcare analytics?

Thomas: Data and expectations. The demand for information and measurement has never been higher. Technology alone does not address these needs. Organizations need a transparent data-profiling discipline in place that tracks and ensures consistent, accurate, reliable data from source to target – in other words, from the front-line system where a clinician or other professional enters data and through the various applications until the data lands on a report or is used to calculate a metric. Often, we try to fix “bad data” in the report.  But the truth is, data is neither good nor bad: it is as is was created.  Data simply might not meet our expectations of what we thought it should be. So organizations need a rigorous data-profiling discipline to ensure that data arrives at its final destination in the “state” that is expected. Expectations need to be managed around what is possible — and when. Sometimes, executives want to measure something that requires new data sources.  Healthcare executives need to understand that just because an EHR is in place, there is no guarantee that any data will be available to support analytics and measurement.  The process requires thoughtful planning to ensure the data needed to support desired measurement and analytic efforts is appropriately captured in the course of reasonable workflow in the clinical setting.  New types of data can be obtained – but there is a time-lag between wishing it, making the changes in workflow and system configuration, and then having that data flow through to the analytics applications. This is critical to understand when engaging in incentives-based / risk-based contracts: you need to know you can accurately and consistently measure the metrics that will drive reimbursement.

Institute: What are some of the analytics tools that are helping to manage patient populations and patient experience?

Thomas: There are a ton of them, and there tends to be overlap from app to app with some unique capabilities at the margin. This is a very nascent market. Many vendors are claiming capabilities along a broad spectrum of need – from analytics to active care coordination. The data challenges in this area are pretty substantial. The traditional approach of using claims data can give a good baseline to understand a population, but the data is too old to use in active population management. Getting data from non-owned providers on a timely basis is a challenge. This is an area prime for attention in the industry: how can be enable data liquidity to support active population management?

Institute:  You will be participating on the panel discussion “ Insights from Patient Data: Managing the Health of a Population”   at the upcoming Health IT Summit in Atlanta, what can our attendees expect to take away from your participation?

Thomas: The messages will be, “It’s all about the data,” and, “Begin with the end in mind.” Useful data to support decision-making and performance improvement doesn’t just happen. Data needs must be built into the decision process for EHR implementation and optimization – and it all must be supported with enterprise-wide data governance so that everyone knows what needs to happen, why, and how to do it.

Interested in learning more about analytics and PHM strategies? Join Unity Health Care, Carilion Clinic, Bon Secours Medical Group, and Encore Health Resources during their “Insights from Patient Data: Managing the Health of  a Population” panel, taking place at the Institute’s Health IT Summit in Atlanta, April 25-16, 2014.

Click here to learn more!

Majority have EHR governance structure, advisory committees

Majority have EHR governance structure, advisory committeesBy Beth Walso, April 2, 2014, first posted on Clinical-Innovation+Technology

Sixty percent of those who responded to an EHR governance study have a formalized EHR governance structure in place.  HIMSS Analytics released the 2014 U.S. EHR Governance Study which queried 230 respondents about their current governance structure including effectiveness, efficiency and primary drivers, as well as challenges, success factors and associated vendors.

Full Story

Interested in learning more about electronic health records? Join Piedmont Atlanta Hospital and Baptist Health Care on their “Innovations in Healthcare: Leveraging Telemedicine and Mobile Solutions to Reduce Readmissions” panel at the Institute’s upcoming Health IT Summit in Atlanta, taking place April 15-16, 2014.

Click here to learn more!

Interview with Stephen Morgan, M.D., Senior Vice President, Carilion Clinic

Stephen Morgan, MD, SVP, CMIO Carilion ClinicAt the 600-physician Carilion Clinic integrated health system, Stephen Morgan, M.D., senior vice president and CMIO, is helping to lead transformative change along a number of dimensions. To begin with, the Roanoke, Virginia-based Carilion organization joined the Medicare Shared Savings Program (MSSP) for accountable care organizations (ACOs) in January 2013, and that step in itself has helped to spur the development of more coordinated approaches to care delivery and the acceleration of the creation of IT foundations to support the ACO financing and delivery model.

Full Story 

Interested in learning more about patient data? Join Unity Health Care, Bon Secours Medical Group and Carilion Clinic as they discuss the same topic on their, “Insights from Patient Data: Managing the Health of a Population” panel taking place at the Institute’s upcoming Health It Summit in Atlanta, taking place April 15-16, 2014.

Click here to learn more!

Toshiba’s Imaginary Wearable Computing Gloves Win April Fools’ Day

Toshiba's Imaginary Wearable Computing Gloves Win April Fools DayBy Jordan Crook, first posted on TechCrunch, April 1, 2014

If there was some over-arching, governing body that handed out awards to April Fools’ Day prankers, I should hope that Toshiba would get one.

The company today announced the Digit, sloughing off what is usually a pretty boring, business-y style to introduce something truly hilarious to the gadget world.

The Digit is a set of wearable computing gloves.

It has a “two-hand gestural user interface,” as well as a 32-megapixel camera, a 4K Ultra HD video camera, and a 4K Virtual Retina display. To use the screen, you literally cover your face with the gloves like the monkey who saw no evil. To use the phone, you hold your hand up to your face like a child pretending to be on the telephone. To listen to music, just stick your thumbs in your ears.

It’s adorable.

Full Story 

[INFOGRAPHIC] Stellar Star Rating is Imperative for Long-Term Success

Enrollment in Medicare Advantage (MA) plans is projected to reach 15 million by 2013. While the Affordable Care Act lowers payments to MA plans by more than $140 billion over the next decade, bonus payments based on high ratings in the Five-Star Quality Rating System can help make up for those lost dollars. Here are ways remote care management programs help enable MA health plans to reduce coss while achieving the 4-star and 5-star ratings needed to complete and win in this changing environment.

[CLICK HERE TO VIEW FULL INFOGRAPHIC]

Infographic


Intel-GE Care Innovations™
Infographic: Remote Care Management for MA Plans

 

The infographic was shared with the Institute at the San Francisco Health IT Summit, which took place, March 25-26, 2014 at the Presidio Golden Gate Club.

Interview with Mark Cohen, MD, PhD, VP Medical Affairs, Chief Quality Officer, Piedmont Atlanta Hospital

Mark Cohen, MD, PhD, VP Medical Affairs, Chief Quality Officer, Piedmont Atlanta HospitalMark Cohen, M.D., Ph.D., is Vice President of Medical Affairs and Chief Quality Officer at Piedmont Atlanta Hospital, the flagship facility within Piedmont Healthcare, a five-hospital integrated system based in Atlanta.  There, Dr. Cohen is helping to lead a broad clinical quality and performance improvement initiative, focusing on using publicly reported quality measures to help improve care quality in areas such as mortality and serious safety event rates, as well as working to improve the health system’s patient satisfaction, physician satisfaction, and staff satisfaction scores. Dr. Cohen, a panelist at the Health IT Summit in Atlanta April 15-16, spoke recently with Mark Hagland, Editor-in-Chief of Healthcare Informatics, regarding his team’s ongoing work in these important areas.

Full Interview

Interested in learning more about electronic health records? Join Piedmont Atlanta Hospital and Baptist Health Care on their “Innovations in Healthcare: Leveraging Telemedicine and Mobile Solutions to Reduce Readmissions” panel at the Institute’s upcoming Health IT Summit in Atlanta, taking place April 15-16, 2014.

Click here to learn more!

“Patient ? Patient: Providing Individualized Care in a Marketing Dominant World” with Ari Lightman, Distinguished Service Professor, Digital Media and Marketing, Carnegie Mellon University’s Heinz College

[CLICK HERE TO VIEW PRESENTATION]
"Patient ? Patient: Providing Individualized Care in a Marketing Dominant World" with Ari Lightman, Distinguished Service Professor, Digital Media and Marketing, Carnegie Mellon University’s Heinz College

[PowerPoint] iHT² Research Report Findings “Episode Analytics: Essential Tools for New Healthcare Models”

iHT² along with top health IT executives including the CIO from Yale-New Haven Health System, Executive Director of HCI3, SVP & Chief Strategy Officer from Intermountain Healthcare, CMO from SAS, and more, recently released the “Episode Analytics: Essential Tools for New Healthcare Models” Research Report.

This report showed how payors, providers, and ACOs, can leverage analytics against cross continuum episodes of care to decrease avoidable complications and cut waste in healthcare.

Join Peter Chingos, Senior Solutions Architect, SAS Health Analytics Practice, Health & Life Sciences, SAS North America, as he reviews the findings and answers your questions in San Francisco.

iHT² research projects are a beginning point for greater stakeholder collaboration to achieve a learning health care system to improve patient outcomes and accelerate research through the effective application of technology.

iHT² Research Report Findings “Episode Analytics: Essential Tools for New Healthcare Models"

Interview with Richard Osborne, Healthcare Practice Leader, Point B

Richard Osborne, Healthcare Practice Leader, Point B

He recently helped lead a readmission reduction program for a Bay Area based Health System, which resulted in a nearly 50% reduction in the rate of readmission for the target population.

For more than 25 years, Richard Osborne has led complex, strategic business initiatives and solved mission-critical business and technology problems in the healthcare industry. His expertise includes clinical process improvement, clinical systems design and implementation, novel care models including ACOs, and re-admission reduction and care optimization.

Osborne has worked with the majority of multi-facility hospital systems and large health plans in the Bay Area, helping them improve service efficiency and achieve better outcomes. He recently helped lead a readmission reduction program for a Bay Area based Health System, which resulted in a nearly 50% reduction in the rate of readmission for the target population. Osborne has also just help guide a patient-centered care optimization program for a California partnership of providers and payors.

Osborne holds an MBA, a Master of Health Services Administration, and a B.S. in Finance from the University of Utah.

Osborne will be participating on the “Volume to Value: Transforming U.S. Healthcare Delivery” panel at the Institute’s upcoming Health IT Summit in San Francisco, March 25-26, 2014.

Institute: Can you please start by giving us a brief overview of Point B and your role as Healthcare Practice Leader?

Osborne: Point B is an employee-owned management consulting and venture investment firm that specializes in helping clients form, execute and thrive. Numerous organizations have sought outPoint B for its objective leadership, deep expertise and ability to transform strategies into reality.  Founded in 1995, Point B serves clients in Southern California, the Bay Area, Chicago, Denver, Phoenix, Portland, and Seattle. Point B has a healthcare practice with significant experience consulting with provider organizations and health plans for over 18 years, has successfully delivered over 1,280 projects, and was recently ranked #27 on Modern Healthcare’s top healthcare consulting firms. We support organizations working on critical challenges in today’s complex healthcare environment—from reform, to productivity and performance measures, to major transformations.  Healthcare organizations look to us to improve service delivery using lean techniques, advice on organizational effectiveness and strategic priorities, and lead key initiatives.

Institute: You recently helped lead a readmission reduction program for a Bay Area based Health System, can you share more with us and the challenges as well as the benefits of this program?

Osborne:  The primary challenges we encountered related to process and practitioner variegation as well as unnecessary process complexity. This was particularly complex where patients were transitioned through various sets of simultaneous processes.  Reducing this complexity and variation allows you to focus on key handoffs and build safeguards into the simplified processes.  Another key component is the ability to identify potential length of stay outliers early on in their stay – often at admit.  Dong this allows scare resources to be deployed most effectively. The benefits of the program were a nearly 50% reduction in 30 day “all cause” readmission for our target group of patients.

Institute: What are 2-3 future trends hospitals, medical groups, health plans, and employers must be aware of as they try to leverage information technology?

Osborne: 

1. The blurring lines between our traditional view of Providers, Payors and Medical Groups will continue to drive the ability to control resources while maintaining laser focus on outcomes.

2. IT will continue its evolution from being viewed as a pure cost reducing strategy to an enabling strategy.

3. Three more things Data, Data, & more Data. Data becoming viewed as an asset rather than an outcome will change the face of healthcare.

Institute: You will be participating on the panel discussion “Volume to Value: Transforming US Healthcare Delivery” at the upcoming Health IT Summit in San Francisco, what can our attendees expect to take away from your participation?

Osborne: The barn door is closed.  There is no going back…

Care delivery success in this new paradigm will come through TRULY INTEGRATED networks.  That is not to say that the only way to succeed is to be part of a truly integrated network.  There will be plenty of opportunity to create structures that will support or be supported by these networks.  There will, however, be winners and unfortunately losers…  I hope that through this conference, attendees will gain a more clear picture of where their organizations are on this continuum and help move them along the winner path.

Hospital Okays Google Glass in the Emergency Department

Hospital Okays Google Glass in the Emergency Room By Clint Boulton, Reporter, first posted on the CIO Journal, March 20, 2014

Beth Israel Deaconess Medical Center has modified Google Glass wearable computers so they can be used to treat patients in its emergency department without running afoul of privacy regulations. Using software from a startup, the hospital ensures no data travels over Google’s servers, says Dr. John Halamka, the hospital’s CIO.

“We have total control of all data flowing to and from Glass,” said Mr. Halamka in an interview Thursday.

With Glass, physicians can call up patient data through voice commands and view it on the screen mounted on the device’s eyeglass frame. The setup lets physicians keep their hands free while treating patients.

But Google Inc., which stores Glass-generated data on its cloud, won’t sign the contract hospitals are required to obtain from cloud vendors to meet requirements of the Health Insurance Portability and Accountability Act. HIPPAA requires that cloud vendors accept responsibility for managing patient information in accordance with the law’s privacy rules. This has prevented hospitals such as the Cleveland Clinic from using it.

Full Story

Interested in hearing from John Halamka? Join him during his opening keynote, “Health IT in a Healthcare Reform World: Connecting Patients, Providers, and Payers” taking place at the Institute’s upcoming Health IT Summit in Boston, taking place May 13-14, 2014.

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