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H
ealthcare delivery and how we monitor our wellness is about to change. Today, the healthcare industry must respond to both government and consumer forces. And technology helps healthcare organizations do that faster and at lower costs.
While regulatory mandates are usually seen as unnecessary and
obstructionist, they are pushing technology where it needs to be in healthcare. As a result we find wide adoption of Electronic health records (EHRs), Patient portals, Remote patient monitoring systems across the industry. In addition to government’s role in healthcare delivery, another force is quickly accelerating the adoption of healthcare information technology: consumer demand. Mobile devices, including smartphones, tablets, and the growing array of wearables extend consumers’ ability, need, and desire to
Healthcare:
At the Cusp of Technology Adoption
access data about their own health. Faced with fundamental changes to the ecosystem, most successful CIOs of hospitals and senior IT leaders are rethinking on what technology means and how it can be applied to the needs and goals of the hospitals. Healthcare CIOs have begun to leverage new technologies and embrace the future by turning their attention to growth, cost reduction and competitive differentiation. CIOs in healthcare organizations are working with greater agility to leverage technology and discover new ways to advance the business. Published from Fremont, California, Healthcare Tech Outlook is a monthly magazine that brings to you real-world solutions, news, and product trends, covering Analytics, Claims Coding, EMRs/EHRs, Decision Support, Revenue Cycle Management, Population Health, and more to subscribers that include senior C-suite executives and IT managers working in hospitals
Healthcare Tech $10 JUNE - 2015
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CONNECTING THE HEALTHCARE TECHNOLOGY COMMUNITY
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and healthcare organizations, integrated delivery networks, managed care organizations, health plans, physician’s practices, and IPAs. What’s unique about Healthcare Tech Outlook is it learn-from-peers approach. CIOs, CTOs, IT VPs and other senior level technology buyers and decision-makers constantly share with us their experiences, wisdom and thought leadership.
In My Opinion
In every edition of the magazine, successful CIOs from healthcare sector
Leveraging Data and Analytics to Measure, Benchmark, and Transform Healthcare Systems
and other decision makers share true insights with our readers, what they
E. Kolker, PhD, Chief Data Officer, Seattle Children’s (Hospital-Research Institute-Foundation)
see as a big challenge in technology to meet healthcare needs and how they
CIO INSIGHT A Prescription for the Health Industry: Interoperability
leverage technology within the environment they operate in. The roast of
Brian LeClaire, CIO, Humana
IMAT Solutions:
Breakthrough in Healthcare Analytics
Kurt Garbe, CEO
insights in each edition of the magazine will help CIOs and IT leaders across the board to learn from their peers in the industry. Healthcare Tech Outlook brings to professionals in the healthcare industry best-in-class coverage of technology innovations and trends.
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Healthcare Tech UTLOOK
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H ealthcare Tech UTLOOK
MEDIAKIT 2016 CEO Kurt Garbe,
Analytics in Healthcare
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Readership Demographics: 41000 16% Dir/ Mgr IT/IS/ Data/ CSO Dir/ Mgr Information Security/ Site Security; Dir/ Mgr Network, telecom., e-Health, Internet, Intranet, Call Center, Dir/ Mgr Medical Records, Medical, Nursing Informatics CIOs office: Assistants, Coordinators, Analysts and Team Leads
64.7%
Hospital/ Integrated Systems
2.4%
Managed Care
11.2%
Medical Clinic/ Group Practice
1.9%
Physician Organization
4.6%
LTC/ Sub Acute
1.1%
Independent Pharmacy
8.3%
Healthcare Consulting Services
2%
Vendor/ Value Added
38% Directors, Managers, Purchasing, Administrators and Associates
30% 30%
Heads of departments (Chief/ Dir/ Mgr Radiology/ imaging, Cardiology/ Oncology/ Pathology, emergency Dept/ Acute Care, Ambulatory Care, Laboratory Services/ Pharmacy, other clinical Departments), Researchers and Support Staff
16% CEOs, CFOs, CIOs, Presidents and VPs
2.2% 1.6%
Industry Type 69.3% 11.6% 2.7% 7.6% 3.2% 1.9% 3.7%
Government/ Education/ Military Other
Hospital, multi-hospital system, IDN, community hospital. VHA/ government/non-profit, academic, medical center Ambulatory care facility, medical/ surgical clinics/ practices, community clinics, home healthcare, LTC/ rehab facilities Ancillary clinical service providers Payers, insurance cos, managed care organizations Healthcare IT/ financial/ business consulting firms HIMMS members not elsewhere classified Healthcare vendors
Average number of beds in readers’ hospital/ health systems 246
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Editorial Calendar January - Top 10 Population Health Management
Accountable Care is a marathon.
CIO INSIGHT
Designed to improve health outcomes, Population Health Management is the analysis of cumulative patient data across multiple health information technology resources, into a single patient record. Through PHM, care providers can track, and improve, clinical outcomes while lowering costs.
Accountable Care is a marathon.
CIO INSIGHT
Accountable Care is a marathon.
CIO INSIGHT
The HIE platform that takes you the last mile and The HIE platform that across the finish line. takes you the last mile and The HIE platform that line. across the finish takes last mile and There’s a reason overyou 109 the health systems and 362 hospitals finish line. HIE platform. have chosenacross Certify’s the HealthLogix
February - Top 10 Healthcare Document Management Healthcare Document Management enables healthcare organizations to meet new government mandates by eliminating paper and paper-based processes to facilitate information sharing and real-time access to patient information, allowing clinicians and administrators to make well-informed decisions.
™
There’s a reason over 109view health systems and 362 hospitals 360˚ longitudinal of aggregated patient information ™ HIE platform. have chosen Exchange Certify’sclinical HealthLogix information in CCD/CDA format l l
Semantic interoperability across the community
There’s a360˚ reason overStreamline 109of health systems and 362 hospitals longitudinal view aggregated information lab orderspatient and results workflow ™ platform. have chosen Certify’s HealthLogix Exchange clinical Deploy information CCD/CDA format withinminimal ITHIE support l
l l
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Semantic interoperability across adoption the community l Rapid physician 360˚ longitudinal viewlab of orders aggregated patient information l Streamline and results workflow l
l l
Exchangelclinical in CCD/CDA format Deployinformation with minimal IT support Certify Data Systems, Inc.
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560 S. Winchester Blvd., Suite 500, San Jose, CA 95128-2500 Semantic interoperability the community l Rapid physicianacross www.certifydatasystems.com adoption
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Streamline lab orders and results workflow
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Deploy with minimal IT support Certify Data Systems, Inc. To learn more, visit www.certifydatasystems.com/lastmile or call 408.236.7494 560 S. Winchester Blvd., Suite 500, San Jose, CA 95128-2500
l
HEALTHCARE TECH
www.certifydatasystems.com Rapid physician adoption
© 2013 Certify Data Systems, All Rights Reserved.
March - Top 10 Healthcare Communication
To learn more, visit www.certifydatasystems.com/lastmile or call 408.236.7494
Certify Data Systems, Inc. 560 S. Winchester Blvd., Suite 500, San Jose, CA 95128-2500 www.certifydatasystems.com
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OUTLOOK 2013
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The clinician’s ability to explain, listen and empathize in short “communicate” with the patient can have a profound effect on biological and functional health outcomes as well as patient satisfaction and experience of care. Healthcare Communication advances the quality of healthcare as it is an essential aspect of healthcare, engaging in collaborative research on communication in healthcare.
April - Top 10 Telemedicine Solutions CIO VIEWPOINT
Telemedicine involves using telecommunication technology to provide healthcare. Telemedicine software is used specifically to provide clinical care by connecting patients with their doctors or physicians with other healthcare providers.
Challenges in technology to meet enterprise needs in 2013 and expectations The challenges and wish list in brief: • Provide affordable, proven analytics solutions that will support my analytic strategy for at least the next five years • Enhance EMRs to allow me to capture detailed and more accurate cost data, making the actual cost of care transparent to physicians and patients at the point of care • Help physicians identify, manage and engage patients with chronic conditions in their own care more effectively
June - Top 20 Healthcare Analytics Solutions Healthcare Analytics helps healthcare providers to manage their businesses more effectively and efficiently. Misallocation of resources can quickly bring down quality of care. Therefore, healthcare providers need to look after all the key healthcare reporting metrics across hospitals, programs, and regions.
Technology trends impacting enterprise business environment Analytics will have the biggest impact. We’ve gone through the first two phases of data management- collecting data in financial and EMR systems, and sharing information via HIEs and EMRs. The third phase will be analyzing data and disseminating actionable information to the front end of care. The second trend I see coming is mobile enablement of healthcare through smartphones. This includes things like physicians practicing medicine, accessing and transmitting records etc.
Healthcare Tech
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Dale Sanders Senior Technology Advisor & CIO National Health System in the Cayman Islands
D
ale has spent the last 15 years applying IT to improve quality and efficiency in healthcare, while also reducing expenses. He is the founder of the Healthcare Data Warehousing Association, with now over 200 institutional memberships worldwide.
Manner in which data is used to head off problems and complications before they happen We use analytics to target specific problems which we want to improve or prevent. One of the first and easier ways is to identify and eliminate variability in care. We also target disease states/ care processes that consume the most resources. Thoughts on how IT strategic planning supports organization-wide efforts to improve quality, cut costs and improve efficiency in the healthcare sector As a CIO, do you follow and react to what the business request from IT or do you lead and pull an integrated IT business plan as an active member of the executive team? Are you more of a technocrat or a leader- a leader who helps guide and pull the organization along from a business perspective with innovative applications of IT? If you have that interest as a CIO and fellow executives who welcome your contribution, you can play a huge role in your enterprise’s strategic success. My roles and responsibilities as a CIO Whatever be the role of the CIO, one message that I want to send to the other members of the executive team: The old days of dismissing or treating technology as a bothersome afterthought, not worthy of your attention- those days are long gone. I still see a lot of healthcare executives who treat IT as the world of the nerdy propeller heads. Lessons learned and advice for fellow CIOs There are three basic types of CIOs that I’ve witnessed and seen in myself- the Technologist, the MBA, and the Integrator. My advice for CIOs is that they study and understand the business of healthcare. You have to think like a physician, nurse and healthcare economist; and behave like an IT specialist.HT
February 2015
CIO INSIGHTS
The Implementation of Mobile Computing in Health Care
future. Organizations address the needto reduce cost by harnessing technology in new ways to expand the care borders that align with payment reform, cost efficiencies, and the creation of radical convenience for our patients as consumers. The mobile communication device strategies have moved well beyond the pagers and smartphones; and now include wireless networks, iPhones, cell phones, iPads, laptops, tablets, and medical sensors that all communicate instantaneous and continuous information. The mobile industry is being driven by consumer demand and for functionality and information availability. Healthcare organizations are looking for innovative ways in which to grow market share organically to reach new communities with new ways to provide care, coordinate health and wellness, exploit social media and web portals to patient tasks effortless such as reminders, secure email communication, disease management interaction, requesting
By Mary Alice Annecharico, SVP & CIO, Henry Ford Health System
Detroit, MI based Henry Ford Health System offers an array of acute, primary, tertiary, quaternary and preventive care backed by excellence in research and education.
H
ealthcare is experiencing a series of interdependent health care reform initiatives at whose cores lies the active involvement of the patient. Meaningful Use (MU), the Patient Centered Medical Home (PCMH), Accountable Care Organizations (ACOs), and Population Health all demand a different behavior in the relationship of the provider and the patient. The anticipated outcomes include improved coordination of care, shared accountability, and the elimination of waste and redundancy. Patient engagement strategy revolves around communication across several relationships and through access to relevant information. IT leaders are responsible for more concurrent initiatives than ever before. The two or three strategic initiatives per year that kept most CIOs consumed has now taken on a different intensity as we embrace exchanges and incorporate mobile device functionality to engage the provider, the patients, and administrative demands. Consumer demand and more tightly integrated access to data needs are driving mobile technology and innovation shifts to penetrate the landscape of health care delivery. As care shifts away from the acute care to the ambulatory settings, the exchange of care management information among providers and patients is aimed at keeping patients out of the hospital.
Why is Mobile Health Computing Important?
Mobile health (mHealth) will be a driver for the increasingly
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MEDIAKIT 2016
You have to think like a physician, nurse and healthcare economist; and behave like an IT specialist
The areas in business environment where solutions do not yet exist or not up to the mark, and which if existed, would've made job easier As I mentioned earlier, the lack of detailed cost accounting and patient reported outcomes data is very disturbing. One thing that keeps me awake is how to implement the “instrumentation” of workflow to collect more granular data, about physicians and other providers so I can more accurately account for their costs. Another area is the lack of integration between HIT and smartphones; which would ease data gathering and exchange.
May - Top 10 EMR/EHR Solutions EMR/EHR Solutions assist medical practitioners in the creation, storage, and organization of electronic medical records, including patient charts, electronic prescriptions, lab orders, and evaluations. EMR solutions allow patient information to be shared within one healthcare organization, whereas HER solutions allow health-related records to be shared across multiple organizations.
Dale Sanders, Senior Technology Advisor & CIO, National Health System
essential patient and provider interaction in a secure and interoperable manner. Clinicians want and need decision making information at their fingertips. Mobile devices are helping to fill current gaps toenhance the physician workflow, proactive decision-making, and oversight with a goal of improving patient care quality, outcomes, and safety. Mhealth technologies are enabling us to look to our peers and the industry to move rapidly beyond the visioning range into the practical and interoperable range. MHealth uses wireless and mobile technology platforms to accelerate the connections between providers and patients to improve care relationships, foster more interactive communication between the patient and provider, and it empowers patients to become advocates for their own health. Wearable mobility and wireless medical devices are enriching wellness planning, encouraging healthy lifestyles and improving the availability of care coordination into the home and communities. ThismHealth landscape is changing indeed. There has been no recent time when a particular technology created such an exciting wave of both opportunity and unrest at the same time. Our healthcare industry is consumed with regulated demands for managing in an increasingly more cost constrained and improved health outcomes oriented environment. Mergers and acquisitions are occurring at rapid rates as organizations adjust to the new normal of reform and analyze the business behaviors needed in the
MDM solutions and the interoperability frameworks are expanding rapidly to insure that the right source data is transmitted securely, effectively and efficiently to the user medication refills and appointments. At the same time, aggressive efforts are underway to create mobile health and wellness retail services that appeal to a market spectrum already engaged in personal wellness maintenance. The commercial industry has invested heavily in the development of new health and wellness and disease management markets andnew partnership relationships with provider organizations. Promoting the integration of applications and wellness that appeals to the consumer, Apple, Google, Microsoft, CVS, Walgreens, among others are among the drivers of innovation of applications to support Big Data and population health. At the same time, there is a growing element of concern about the rapid development of applications for mobile devices that lack the overall architectural integrity and planning to make functionality secure, scalable, enduring, and/or useful within the integrated networks of healthcare organizations.
Consumer Demand in the Workplace and Security Alignment
Bring Your Own Device, BYOD, is creating an instant demand for aggressive BYOD management strategies within our healthcare organizations. Ironically, it has shifted the seat of power away from the security and network policy domain and rightfully, into the collaboration arms of the Provider, Leadership, and the technical services needed to support an expanding technology spectrum. Wireless networks will be challenged to keep up with the data driven demands. Mobile Device Management, MDM, solutions and the interoperability frameworks are expanding rapidly to insure that the right source data is transmitted securely, effectively and efficiently to the user. Budgets, compliance with HITECH privacy and security requirements, and the willingness of organizations to create the tactical guidelines to assist well -intended users to be compliant and more productive are both exciting and challenging. Though mobile health has its own advantages and opportunities, the forethought of using mHealth is becoming a global reality today. Similar to the internet revolution, mHealth is revolutionizing the way of patients receiving their care. The differentiation between a conventional healthcare strategy and mobile healthcare strategy will be softened. Mobile healthcare strategy is very vibrant as mobile is starting to shape the future of healthcare.HT
Mary Alice
Healthcare Tech
March 2015 October 2014
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Editorial Calendar July - Top 10 Healthcare Security Solutions Healthcare organizations are increasingly demanding the ability for universal connectivity and seamless usage of smartphones and tablets. The convergence of these factors has led to a proliferation of breaches, which can affect many individuals in a single incident. Therefore, Healthcare organizations must adopt emerging models such as cloud to support and protect the increasing mobility of patients.
August - Top 10 Health Information Exchange Solutions Health information exchange (HIE) is the seamless, secure, electronic sharing of health data across networks. HIE solutions empower healthcare entities to reduce costs; enhance revenues; and, most importantly, improve patient care. In addition, they comply with governmental regulations; realizing a higher level of personalized healthcare.
September - Top 10 Healthcare Revenue Cycle Management Solutions Uncovering at-risk or neglected revenue cycle opportunities can deliver an immediate return without a significant amount of time or cost. Healthcare Revenue Cycle Management Solutions is the key to identify specific areas often responsible for the financial underperformance of healthcare organizations.
October - Top 10 Patient Monitoring Solutions The integration of medical care and technological advancements has given birth to Patient Monitoring Solutions. These solutions offer actionable and care-specific information allowing healthcare providers to improve the quality of care given to patients.
Copyright ©2013 Allscripts Healthcare, LLC. and/or its affiliates. All rights reserved.
CIO INSIGHT
Maximize Your Healthcare Technology Investment
November - Top 10 Healthcare Imaging Informatics Solutions EMR/EHR Solutions assist medical practitioners in the creation, storage, and organization of electronic medical records, including patient charts, electronic prescriptions, lab orders, and evaluations. EMR solutions allow patient information to be shared within one healthcare organization, whereas HER solutions allow health-related records to be shared across multiple organizations.
December - Top 10 Practice Management Practice Management consists of information on transforming practice, from the basic concepts of the patient-centered medical home to the Comprehensive Primary Care Initiative. Practice Management solutions allow users to capture patient demographics, schedule appointments, maintain lists of insurance payors, perform billing tasks, and generate reports.
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Let Allscripts show you how a complete, hosted solution delivers better clinical and financial outcomes. www.allscripts.com/manageditservices HEALTHCARE TECH
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CXO INSIGHTS
ThreeThings Health IT can Learn from the Food Network
day when truly engaged patients are a reality and supported by health monitoring and personal health tools that help them stay out of a physician’s office—it will revolutionize the healthcare industry. But, we need to remember to learn from the past. Metaphorically speaking, adding more ingredients to our health IT basket will not necessarily make our food taste better or our dishes more thoughtfully composed—it will just overwhelm and confuse the judges. As such, here are three lessons we can learn from Chopped:
By Nick van Terheyden, Chief Medical Information Officer, Nuance communication
As consumers, we are clearly developing an appetite for personalized health monitoring. We just need to make sure that as an industry, we capture the right ingredients and offer the finest solutions to our customers.
I
Nick van Terheyden
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f you’ve never watched it, the Food Network®’s hit show Chopped is a cooking competition where four chefs are presented with a basket of mystery ingredients that they must incorporate into a single themed dish (for instance, Thanksgiving breakfast) within a certain allotted time. After each course, the chefs present their culinary creations to the panel of judges and face “the dreaded chopping block,” where they are evaluated on use of ingredients, cleverness, creativity and most importantly, taste. The show is interesting, but what I find most fascinating is watching the responsiveness and agility of the chefs as they conceptualize their dishes. They are given disparate flavors which they are asked to compose into a delicious meal. Translating seemingly hodgepodge items into a meaningful and palatable format in a short amount of time is difficult, to say the least. It is not unlike the challenges we face in the health IT industry. Much as the chefs have an abundance of ingredients, we in the health IT industry have no shortage of health data. The challenging part is to extract the most important and valuable information—whether it is the latest lab result, X-ray, or consulting physician note—and make it prominent so it is at our physicians’ fingertips and driving more informed clinical decisions. It’s similar to the challenge the contestants on Chopped face: how can I combine these ingredients in a delicious and clever way to
impress the judges and set myself apart from my competitors? Recent announcements from large consumer tech companies about digital health platforms and APIs that open source data collection for personal health monitoring have people in the industry buzzing about what the future of health technology will be. I look forward to the
• More doesn’t necessarily mean better; t h e details are what matter. Any chef can tell you that one can cook a delicious spread, but over/under season the dish, and he or she will be doing the walk of shame out of the kitchen. Those of us in health IT also know the importance of applying a discerning eye to vital data. We have seen the dangers note bloat and copy forward, and we need to ensure that
Lessons in health IT can be learned everywhere we look, including on television show competitions
those who are accessing the health data are able to immediately find what they need. Just as you shouldn’t have to eat an entire bowl of spaghetti to find a meatball, you shouldn’t have to manually parse through a patient’s entire medical record to find a glucose level from last week. • Presentation is everything. My wife says, and she is always right, “you eat with your eyes first.” A good chef knows the importance of combining and arranging the ingredients of a dish in a way that is appetizing and delicious looking to the foodie. The same goes for personal health data. We can be tracking every heartbeat and measuring every level in our body; however, if it is not organized and presented in a meaningful way, it will not be accepted or understood effectively by physicians or health consumers. • Vision needs to become reality. Chefs who do not thoroughly think through the elements of their recipes or plan their time accordingly often find themselves presenting a dish that differs from what they had envisioned or run out of time completely presenting a dish with only a few of the mystery basket ingredients. Similarly, while it is great to imagine the future of health IT, what we need right now are well-thought out, logical, and achievable solutions that transform even the most challenging ingredients into a delicacy. (Remember the monkey brains served during the dinner scene in Indiana Jones and the Temple of Doom?). I have said it before, but it bears repeating: I feel so lucky to be working in health IT at such an exciting time of innovation. As consumers, we are clearly developing an appetite for personalized health monitoring. Now, we just need to make sure that as an industry we capture the right ingredients and offer the finest solutions to our customers. Lessons in health IT can be learned everywhere we look, including on television show competitions, so remember: details matter, presentation is everything and don’t forget your vision.HT
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