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Posts Tagged ‘Health Information Exchange HIE’

Massachusetts launches important next phase of HIE

Today, Masachusetts moved into phase 2 of a very important Health Information Exchange (HIE) project. It’s called Mass HIway Health Information Exchange, and it was announced at Beth Israel Deaconess Medical Center, where Healthcare CIO, John D. Halamka works.

John D. Halamka, MD, MS, is Chief Information Officer of Beth Israel Deaconess Medical Center, Chairman of the New England Healthcare Exchange Network (NEHEN), Co-Chair of the HIT Standards Committee, a full Professor at Harvard Medical School, and a practicing Emergency Physician.

John D. Halamka, MD, MS, is Chief Information Officer of Beth Israel Deaconess Medical Center, Chairman of the New England Healthcare Exchange Network (NEHEN), Co-Chair of the HIT Standards Committee, a full Professor at Harvard Medical School, and a practicing Emergency Physician.

Halamka is one of my favorite people to follow in healthcare technology (@jhalamka). He blogs at “Life as a Healthcare CIO” and wrote about the news today in a post titled “The Next Phase of Healthcare Information Exchange.”

Halamka gives us a sense of all of the work that went into this next stage of the project, including:

  • a patient index to track which patients have opted into exchanging their patient data with other providers
  • a portal for providers to log in and access the data
  • an EMR request system to support the request & release workflow
  • a system to keep audit trails of all of the activity

For those who are fans of a “No More Clipboards” type of future in their own patient care experience, news like this is very exciting. Halamka talks about how this massive project taking place in Massachusetts is an example of how the future of healthcare information exchange can be convenient, secure, and lead to better care and health outcomes for us all.

He writes:

“I can imagine a day in the next few years, when all patients in the Commonwealth, with their consent, benefit from secure, coordinated care.    My mother suffered a major medical error in California because of inaccessible primary care records.   I truly believe that my 20 year old daughter, attending Tufts University, will see significant reduction in preventable harm in Massachusetts during her 20’s.”

That’s very inspiring.

 

HIE: 6 Opportunities for Increased Patient Safety

In my last blog post we explored the topic of shared decision making (SDM) and its impact on patient safety. This made me think of an experience we recently had with my dad. He had a stent placed about year and a half ago to open a blocked artery in his left anterior descending artery (LAD). Now I should tell you that the doctors, 3 to be exact, wanted to send him home because all of his tests came back negative, but the stubborn, yet lovable, man that my father is (I know, the apple doesn’t far fall!), found a cardiologist that was willing to listen to him and discuss his concerns and thoughts. He convinced this cardiologist to do an angiogram. They ended up finding, clear as day, a 90% blockage in the LAD and stented him right then and there, no questions asked. Needless to say he bypassed a major heart attack, (a.k.a. the Widowmaker) which could have very easily ended his life.

My brother and I both have clinical backgrounds, so it was a little unsettling how the events of the 48 hours with my dad transpired. We went from an emergency admission to nothing is wrong with him, he can go home, to he has a 90% blockage in his main artery that we need to stent right away. Talk about an emotional rollercoaster, but in the HIE benefitsend we were glad he was okay. However, at time of discharge, another shocking and disappointing incident occurred. The nurse was going over his discharge medication regime. As she was rattling off this medication list at a speed even a pharmacist couldn’t understand, she stated, “…and 10mg of Amaryl two times a day.” My dad, who has NEVER taken a pill in his life (we are Indian so turmeric is our answer to everything!) and was still a little out of it from the whole experience was unable to catch the error that just occurred. Luckily I was there to ask the nurse, “Are you sure it is 10mg and not 1mg of Amaryl?” Her response, “Yes that is what the order states.” Again, I challenged her, “Are you sure, because I thought the cardiologist told us after surgery it was 1mg of Amaryl.” She responded, “I can go check, but I am pretty sure this is correct”. I asked her to call the cardiologist and confirm as pretty sure was not good enough. Just as I suspected, it was an error in dosage. The order was for 1mg of Amaryl, twice a day, specific to before breakfast and dinner. At this point, given all that occurred, I began questioning everything she rattled off and requested (well, damn near demanded) that she go back and reconfirm the entire list. This was my dad, my best friend, I was not going to take any chances that his safety be compromised due to a medication error.

This is just one incident that thankfully didn’t end badly.  However, every day patient safety is being compromised because information is not accurately or readily available.  Up to 18% of the patient safety errors, generally, and as many as 70% of adverse drug events could be eliminated if the right information about the right patient is available at the right time. Health information exchange (HIE) makes this possible1.”

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The Quest for My Complete, Portable Health Record

As I have written before, I currently see several physicians who do NOT use an EMR in the office.  They are awesome diagnosticians, people and mentors but they have not taken the leap to the electronic health world.  Now, add in two hospital networks that do NOT have patient portals for accessing my records and you get one big, fat medical record quagmire!   I would love to have my entire medical record in one place AND have portable access to it.  Will I ever reach that goal?  Do I need to establish a relationship with a new physician just to obtain my goal?  I certainly hope not!  So what can be done to make my dream a reality?

puzzle personThis quest has certainly led me to devour insights from industry experts, read countless blogs and articles and consider the drastic move to a new physician.  So I was intrigued when I read the Wall Street Journal article, “Image Sharing Seeks to Reduce Repeat Scans”, this week.  Allowing patients to have access and the ability to TRANSFER images to multiple providers reduces cost, redundancy and ultimately, radiation exposure for the patient.  In addition, it allows the patient to “own” their health.  Although this is certainly a step in the right direction, this is an isolated sharing of information, not connected to the rest of the patient’s history, just another piece of the puzzle.  How can we solve the entire puzzle?

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Top 5 Technology Trends in Healthcare – March 2013

The healthcare IT field is rapidly developing and changing. Emerging technology and updated regulations put pressure on healthcare providers and health plans to stay ahead of the curve. Perficient creates a monthly list that explores some of the current topics and issues in health IT. This list examines the most talked about issues and technologies that are currently affecting the industry.

HCBlog Top5

HIMSS 2013 Conference

Earlier this month the HIMSS 2013 Conference took place in New Orleans. Nearly 35,000 individuals attended the healthcare technology conference over the six days of sessions and exhibition. Highlights included a keynote address from former President Bill Clinton, an Interoperability Showcase, several Meaningful Use workshops, and a general theme of patient engagement.

Patient Engagement under Meaningful Use

A key theme of Stage 2 meaningful use is engaging patients in their own care. Building on the Stage 1 requirement that 50% of patients be able to view their documents electronically, Stage 2 mandates that 10% of those patients actually do so. Clinical summaries must be provided following each office visit and select patients will receive notifications and reminders for additional care. Secure messaging to patients, another Stage 2 requirement, can connect them with helpful care information.

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HIMSS 2013: An Interview with ePatient Dave

Earlier this month at the HIMSS 2013 Conference, Perficient’s Liza Sisler spoke with Dave deBronkart, better known as ePatient Dave. Dave and Liza discuss the unique roles of health, care and medication in engaged healthcare and the idea that the patient is the key to bringing all three aspects together in order to provide better health outcomes. He also talked about the role of useful digital tools to help engage patients and interoperable systems allow data to be shared and presented in a useful manner, providing better, safer care. Dave talks about the idea that patient’s healthcare data should follow them as complete and correct data at the point of care is critical to provide effective, safe health care. Lastly, @ePatientDave tells the story of Dr. Eric Topol utilizing a mobile health tool, AliveCor, to diagnose a woman on his flight home from HIMSS and the impact of mhealth tools.

When Patients Engage, Outcomes are Better

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BI, Portal and Interoperability: Perficient’s Hot Topics at HIMSS

My colleague, Taylor Rhyne, recently wrote a blog post about Perficient’s upcoming presence at the HIMSS 2013 Conference. With the show quickly approaching next week, Perficient has announced plans to exhibit and highlight solutions in Business Intelligence and Analytics, Portals and Connected Health, and Interoperability and Integration in this news release.

Perficient experts will be on hand in Booth #1555 to discuss key focus areas top of mind for healthcare organizations – business intelligence and analyticssocial and collaboration, and integration and interoperability. Specifically, visitors to the booth can learn how, through its partnerships with leading technology innovators – IBMMicrosoft and Oracle – Perficient drives faster, more cost effective healthcare technology solutions for its clients.

Additionally, Perficient’s Martin Sizemore will lead the “Patient Engagement: Transforming the Healthcare Experience” TweetUp, which will be held Wednesday, March 6, from 11 a.m. to 12 p.m. in the Social Media Center in Lobby G.  The #epatient TweetUp will focus on how providers are designing secure and engaging patient portals for access to records, and how the world of social media is shaping patient expectations around caregiver interaction.

To further address the patient engagement topic, Perficient has released a new white paper, “Patient 360: The Complete View of Patient Engagement,” in conjunction with the HIMSS 2013 conference. This white paper will discuss how healthcare organizations can end the long-running trend of low patient engagement, along with the dangerously high cost of care, by shifting to true patient engagement that holds the patient experience, and the power of the resulting data, at the forefront of healthcare business strategy.

To read Taylor’s full post, click here. To learn more about Perficient’s healthcare technology experience and our presence at HIMSS 2013, visit http://www.perficient.com/himss.

Looking forward to seeing you next week!

Webinar: ACO=HIE+Analytics: Enabling Population Health Management

Healthcare organizations are challenged with collaboration and coordination of patient care while struggling with many aspects of payment and quality. The shift from a traditional fee-for-service model to the ACO has many physicians worrying about a return to capitation versus risk and cost sharing. The key is managing the health of a fixed population of people, generally on a regional basis. In order to manage population health, extensive data analysis is required – not retrospective reporting but predictive, trend projecting.

Join Martin Sizemore, principal in Perficient’s healthcare business group, as we look at ACO, HIE and the role advanced analytics plays in the delivery of population health management. Learn how your organization can tie all of the pieces together to be successful in meeting ACO goals and provide vision for the healthcare IT architecture.

In this session we will:

  • Explore the types of accountable care organizations
  • Take a look at the changing role of the health information exchange
  • Examine the advanced analytics necessary for population health management
  • Review practical technologies from Oracle to support key elements of this value chain

To register for the webinar, click here.

ACO = HIE + Analytics: Enabling Population Health Management

February 21, 2013

11:00 am CST

 

Top 5 Technology Trends in Healthcare – January 2013

The healthcare IT field is rapidly developing and changing. Emerging technology and updated regulations put pressure on healthcare providers and health plans to stay ahead of the curve. Perficient creates a monthly list that explores some of the current topics and issues in health IT. This list examines the most talked about issues and technologies that are currently affecting the industry.

HCBlog Top5

EHR/Meaningful Use Stage 2

Meaningful Use is a set of standards that ensures Electronic Health Record systems are being used meaningfully, in order to improve the quality of care. Stage 2 of meaningful use has a primary theme of interoperability between EHR systems and engaging patients in their own care.

Population Health Management

PHM is a concept that includes the healthiest and the sickest individuals by improving the overall health of high- and low risk patients by addressing personal health behaviors that may contribute to health through care, communication and education.  PHM places an emphasis on primary care to provide preventative, acute and chronic illness care, which is coupled with efforts to educate patients and encourage behavior and lifestyle changes.

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Top 5 Technology Trends in Healthcare – December 2012

The healthcare IT field is rapidly developing and changing. Emerging technology and updated regulations put pressure on healthcare providers and health plans to stay ahead of the curve. Perficient creates a monthly list that explores some of the current topics and issues in health IT. This list examines the most talked about issues and technologies that are currently affecting the industry.

HCBlog Top5

 Portals

Having social networking access to providers, via secure portals, patients have the ability to be more engaged in their care and make better decisions about the care they receive. Portals provide near instantaneous access to patient and clinical information, streamline core business processes, referrals and claims, and improve communications with patients/members, physicians, administrators and partners. Meaningful Use Stage 2 requirements are helping to spur the growth of portals.

Hospital Readmissions

Hospital readmission is a growing problem within our health system.  Many patients discharged from an inpatient stay find themselves back in the hospital within 30 days. Some of these readmissions are considered avoidable and as signs of poor care and coordination. Predictive analytics are able to help healthcare organizations manage clinical issues in a timely manner and analyze statistical data to identify potentially preventable conditions. Healthcare business intelligence can provide organizations the ability to use their data to improve quality of care, increase financial efficiency and operational effectiveness, conduct innovative research and satisfy regulatory requirements

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Top 5 Technology Trends in Healthcare – October 2012

The healthcare IT field is rapidly developing and changing. Emerging technology and updated regulations put pressure on healthcare providers and health plans to stay ahead of the curve. Perficient creates a monthly list that explores some of the current topics and issues in health IT. This list examines the most talked about issues and technologies that are currently affecting the industry.

 

EHR/Meaningful Use Stage 2

Meaningful Use is a set of standards that ensures Electronic Health Record systems are being used meaningfully, in order to improve the quality of care. Stage 2 of meaningful use has a primary theme of interoperability between EHR systems and engaging patients in their own care.

Health BI/Big Data

Healthcare business intelligence can provide organizations the ability to use their data to improve quality of care, increase financial efficiency and operational effectiveness, conduct innovative research and satisfy regulatory requirements. Analytics can provide the critical insights in meeting the organizations’ goals and gain competitive advantage.

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Oracle Open World 2012: The Healthcare Edition

This week Perficient Healthcare will be heading to Oracle Open World in San Francisco.  If you’re in town for the event, then please feel free to stop by to geek out with the Perficient crew on the latest in Health IT.  What will we be talking about?

Accountable Care = HIE + Analytics

In order for healthcare organizations to comply with evolving governance and compliance regulations, and combine and exchange clinical and cost information through a comprehensive delivery model, Health Information Exchange (HIE) must be a part of the overall conversation for population health in Accountable Care.  Healthcare organizations can further accelerate compliance to ACO quality reporting requirements by using Business Intelligence and Analytics tools to enhance clinical decision support, performance bench marketing, and persona based dashboards that unlock the medical value of electronic information.  Not only have we seen some great Oracle HIE tools, in the form of Oracle Health Information Exchange, we all know that robust analytics are an imperative toward harnessing the big data that is population health.

Connected Health

I’ll specifically be speaking on the topic of Connected Health and the ePatient at the event.  I’ll be discussing the correct technology decisions a healthcare organization needs to make to harness the growing movement of ePatients in Healthcare Consumerism.  Key points include:

  • Provide instant access to patient and clinical information through Healthcare Portals
  • Enable instantaneous access to patient and clinical information using Mobile Health applications
  • Transmit medical images, video and audio for Telehealth diagnosis and treatment plans
  • Allow patients to exchange information and discuss health conditions with healthcare providers using Social Media

Look forward to seeing you at the event!

Health Information Exchange: Where are we today?

Health Information Exchange (HIE) is “the development of secure health information exchange between healthcare providers…in order to improve the continuity and quality of care for patients.”[1] According to a recent research study, 71 percent of U.S. hospitals intend to purchase a HIE solution, with 25% intending to purchase it within a 7-to-12 month period.[2] States across the country are setting up HIEs in which providers and ACOs can participate to better integrate their health information.

Idaho, through IHDE (Idaho Health Data Exchange), has helped groups like Primary Health Medical Group (PHMG) access patient information such as admission and discharge summaries, as well as physical and lab test results, better understand its patients’ medical history before diagnosing and implementing treatment. As a result, PHMG is preparing a multi-phase approach to its participation in which the intended end result is the statewide availability of the 200,000 patients it sees annually.[3]

The Kansas Health Information Exchange (KHIE) was intended to be a government HIE but evolved into a public-private share entity with private funding from the Kansas Hospital Association and the Kansas Medical Society. Now its operations are being handed over to the state completely, with leadership citing cost issues. As a private, independent entity, KHIE’s staffing costs were as high as $400,000 a year. As a government entity, however, its staffing costs are expected to fall to $54,000 a year. The board is hoping this will force the government to “have some skin in the game,” thereby giving more attention to the providers whose participation will ultimately benefit the patient.[4]

Michigan Health Connect (MHC), Michigan’s largest health information exchange, recently teamed up with Greenway Medical Technologies to provide Michigan providers and physicians real-time access to clinical data leading to more than 900,000 results per month. The partnership is geared toward ambulatory practices and clinics, and will include 54 member MHC member hospitals and more than 4,000 physicians across the state.[5]

Other states, like Montana, Colorado, and Florida, are also contracting with physicians to participate and share patient information with each other. However, which HIE solution is the best at the state level? Further, do we need HIE solutions to be operable only at the state level? Or should we be strategizing toward a solution that will eventually tie all state patient data into a national health information exchange? The Office of the National Coordinator for Health Information Technology is currently working with federal agencies, local and state governments, health information exchange organizations, and other entities to develop standards and policies at the national level. This group is formerly known as the NHIN (National Health Information Network) Cooperative and expected 35 participants in this network by the end of 2011. As of March 2012, it had 27.[6]