This document provides an agenda and summaries for an event on EMR adoption. The event includes opening remarks from Dr. Michael Fossel on understanding the challenges of EMR implementation. Dr. Kennedy Ganti then discusses the HITECH Act and meaningful use criteria. Jean-Michel Van shares lessons from Europe on how EMRs have saved costs, lives, and time based on the experiences of several countries. Finally, Paul Roemer covers critical success factors for EHR adoption, including enterprise readiness, implementation planning, risk assessment, and cost-benefit analysis. A panel discussion and Q&A session follow.
Health Care Panel presented to the Minnesota Ultra High-Speed Broadband Task ...Ann Treacy
This document discusses broadband technologies and their applications in healthcare, including telehealth. It provides examples of how telehealth is used in different specialties like tele-ICU, telepsychiatry, and teleradiology. It also discusses the benefits of telehealth, barriers to adoption like reimbursement and infrastructure issues, and the potential return on investment for hospitals that implement telehealth programs.
Development Standards and Regulations for HealthTechElinext
Wearables, surgery robots, wellness platforms, and digital doctors. The new healthcare landscape is bright, full of novelties and breaking ideas. But before entering this market, you should learn the basic regulations and standards for HealthTech products. We gathered all the information for you in our new infographic.
The COVID19 Pandemic moved us a decade ahead in telemedicine. Primary and urgent care is being transformed with changes in consumer and patient expectations, improvements in telemedicine and monitoring technology, and consumer appetite for the consumption of these services. Medicare's recent favorable reimbursement has driven adoption with these drivers. Primary care, in particular, is being transformed. Care models are being reinvented and the practice of primary care is morphing from in - office episodic visits to multimodal in person, virtual, and continuous monitoring care.
Digital Health & Wellness Summit @ Mobile World Congress 20163GDR
This document discusses whether mobile health (mHealth) technologies should be regulated and identifies some key challenges. It notes that new technologies often develop faster than laws can accommodate them. The document then asks who should regulate mHealth and what should be regulated. It provides definitions of eHealth, mHealth, telehealth and telecare from WHO. It also outlines 12 legal and business challenges of mHealth, such as data security, ownership, compliance with different health laws, and liability concerns. The document concludes by discussing whether regulation hinders or boosts innovation and the need for regulatory clarity and certainty.
ICT in HealthCare Sector (Health Information & Communication Technology).pdfAbhimaniSadeesha
ICT in healthcare can be categorized into 4 main streams: health and education, hospital management systems, health research, and health data management. ICT affords new ways to access, communicate, process, and store health information. The main categories of health ICT include electronic medical records, clinical decision support, telehealth, and remote patient monitoring. ICT is important in the healthcare sector as it can promote patient-centered care at lower cost, improve quality of care and information sharing, and reduce travel times through telemedicine. However, ICT in healthcare can also increase costs and potentially show wrong results.
Market Study of Electronic Medical Record (EMR) Systems in EuropeCGI
This document summarizes a market study of electronic medical record (EMR) systems in Europe. It finds that the overall EMR market in Europe is estimated to be between €2.9-3.4 billion, with the largest markets in the UK, Germany, and France. Adoption rates of clinical information systems vary widely across Europe, with the Nordic countries having the highest penetration. Key trends include differences in healthcare infrastructure and funding across countries, a need for systems modernization, and a slow move toward common standards. Country-specific examples from Finland and Denmark show high EMR adoption but a need for upgraded systems in some areas.
Advanced health technologies and their budgetary implications - Valérie Paris...OECD Governance
This presentation was made by Valérie Paris, OECD Secretariat, at the 6th meeting of the joint OECD DELSA-GOV network on fiscal sustainability of health systems held in Paris, on 18-19 September 2017
Health Care Panel presented to the Minnesota Ultra High-Speed Broadband Task ...Ann Treacy
This document discusses broadband technologies and their applications in healthcare, including telehealth. It provides examples of how telehealth is used in different specialties like tele-ICU, telepsychiatry, and teleradiology. It also discusses the benefits of telehealth, barriers to adoption like reimbursement and infrastructure issues, and the potential return on investment for hospitals that implement telehealth programs.
Development Standards and Regulations for HealthTechElinext
Wearables, surgery robots, wellness platforms, and digital doctors. The new healthcare landscape is bright, full of novelties and breaking ideas. But before entering this market, you should learn the basic regulations and standards for HealthTech products. We gathered all the information for you in our new infographic.
The COVID19 Pandemic moved us a decade ahead in telemedicine. Primary and urgent care is being transformed with changes in consumer and patient expectations, improvements in telemedicine and monitoring technology, and consumer appetite for the consumption of these services. Medicare's recent favorable reimbursement has driven adoption with these drivers. Primary care, in particular, is being transformed. Care models are being reinvented and the practice of primary care is morphing from in - office episodic visits to multimodal in person, virtual, and continuous monitoring care.
Digital Health & Wellness Summit @ Mobile World Congress 20163GDR
This document discusses whether mobile health (mHealth) technologies should be regulated and identifies some key challenges. It notes that new technologies often develop faster than laws can accommodate them. The document then asks who should regulate mHealth and what should be regulated. It provides definitions of eHealth, mHealth, telehealth and telecare from WHO. It also outlines 12 legal and business challenges of mHealth, such as data security, ownership, compliance with different health laws, and liability concerns. The document concludes by discussing whether regulation hinders or boosts innovation and the need for regulatory clarity and certainty.
ICT in HealthCare Sector (Health Information & Communication Technology).pdfAbhimaniSadeesha
ICT in healthcare can be categorized into 4 main streams: health and education, hospital management systems, health research, and health data management. ICT affords new ways to access, communicate, process, and store health information. The main categories of health ICT include electronic medical records, clinical decision support, telehealth, and remote patient monitoring. ICT is important in the healthcare sector as it can promote patient-centered care at lower cost, improve quality of care and information sharing, and reduce travel times through telemedicine. However, ICT in healthcare can also increase costs and potentially show wrong results.
Market Study of Electronic Medical Record (EMR) Systems in EuropeCGI
This document summarizes a market study of electronic medical record (EMR) systems in Europe. It finds that the overall EMR market in Europe is estimated to be between €2.9-3.4 billion, with the largest markets in the UK, Germany, and France. Adoption rates of clinical information systems vary widely across Europe, with the Nordic countries having the highest penetration. Key trends include differences in healthcare infrastructure and funding across countries, a need for systems modernization, and a slow move toward common standards. Country-specific examples from Finland and Denmark show high EMR adoption but a need for upgraded systems in some areas.
Advanced health technologies and their budgetary implications - Valérie Paris...OECD Governance
This presentation was made by Valérie Paris, OECD Secretariat, at the 6th meeting of the joint OECD DELSA-GOV network on fiscal sustainability of health systems held in Paris, on 18-19 September 2017
Advanced health technologies and budgetary implications -- Valerie Paris, OECDOECD Governance
This presentation was made by Valérie Paris, OECD Secretariat, at the 6th Meeting of the Joint OECD DELSA-GOV Network on Fiscal Sustainability of Health Systems, held at the OECD Conference Centre, Paris, on 18-19 September 2017
Chapter 13 national health information systemnaranbatn
1. The document discusses the national health information system in Korea and provides details on the community health information system, future e-health models, and hospital information systems.
2. It outlines Korea's plan for a national health information system, including developing health information standards, implementing an electronic health record system, and revising medical laws regarding e-health.
3. Barriers to the national health information system are also discussed, such as the asymmetry of costs and benefits of electronic health records and the absence of interoperability standards.
Ruud Simons, a program manager from Nictiz in the Netherlands, gave a presentation on personalized medicine from the perspective of health insurers. He discussed several key points:
1) Achieving the "triple aim" of improving patient experience, population health, and reducing costs through practices like benchmarking expensive drugs and treatments tailored to individuals.
2) The importance of standards, interoperability, and international cooperation to connect initiatives and share best practices.
3) The role of patient registries and empowerment in combining data to support clinical decision making and providing patients access to their own health information.
Process Automation in Telemedicine - The Italian PerspectiveDenis Gagné
Presented by Baxter, with the participation of Telemedicine Observatory by ALTEMS (Università Cattolica del Sacro Cuore, Rome).
Stefano Collatina, Country Head Baxter Italy
Prof. Fabrizio Ferrara, Universita Cattolica del Sacro Cuore
Simone Naso, Digital Health Specialist, Baxter Italy
Health care delivery in Italy represents a number of challenges, including the regulatory requirements and the regional differences. Telemedicine has the potential to provide more cost-effective care, especially for vulnerable populations such as the elderly. In this webinar the unique needs of Italy will be discussed and how they can be addressed by standards-based process automation.
Official Representative of the International Research ofthe Mission for European and International Relation and Cooperation (MREIC) ofthe French National Health Insurance Fund (CNAMTS)
Irish HSE EHR strategic business case master briefing deck v1.43GDR
The document outlines the objectives, components, and benefits of developing a National Electronic Health Record (EHR) system in Ireland. It aims to create understanding of the EHR as critical to healthcare reform by enabling data sharing across settings. The EHR would include electronic patient records, order communications, test results, and more. International examples show EHRs can reduce costs, errors, and improve outcomes. The briefing also discusses stakeholder engagement to develop the approach, proposed core solutions, and a phased implementation strategy.
NHS Scotland Ehealth Strategy - Alan Hyslophealthcareisi
This document summarizes Scotland's approach to eHealth and strategy for a national electronic health record system. Some key points:
- Scotland has a federated health system with 14 regional health boards and over 1000 GP practices.
- The strategy focuses on incremental improvements, partnerships, and ensuring the right information is available to clinicians.
- Key early successes included a unique patient ID, online test results, and a national emergency care summary covering 99.9% of the population.
- Future areas of focus include electronic records for palliative care patients and a "key information summary" to facilitate coordinated care across providers.
Role Of The EMR In Healthcare Transformationdalesanders
1) Technology alone cannot transform healthcare; it must be coupled with changes to business processes and clinical culture.
2) The HSA faces a strategic decision about its EMR system as its contract with Cerner expires in 3 years. Cerner accounts for 85% of HSA's IT budget but may not meet all of its needs.
3) If invested wisely, EMRs and IT can drive improvements in clinical quality, safety and productivity through analytics, decision support, and lower costs over time through commoditization of services. The Cayman Islands is well positioned to be a leader in healthcare transformation through strategic use of technology.
The document discusses innovative technology to improve medication adherence. It notes that between 30-50% of prescribed medicines are not taken as recommended, costing the NHS billions. The YOURmeds system is presented as an intelligent medication packaging solution that provides reminders and monitoring to improve adherence. It consolidates medications into clear blister packs with reminders. Sensors track when medications are accessed and share this data through a portal. The system aims to increase social care capacity by replacing some visits with remote monitoring. Clinical trials are planned to study its impact on conditions like heart failure and diabetes that account for a large burden on the healthcare system.
Telehealth Remote Monitoring and Diagnostics proposes a telehealth solution to connect patients with a network of physicians using mobile technologies. This provides easier access to care for patients while increasing productivity and reducing costs. The solution involves patients sending health data like photos and descriptions to telehealth providers. Physicians can then diagnose patients and send prescriptions without requiring in-person visits. Aggregated patient data also allows for improved resource allocation and outbreak detection. The business aims to benefit patients, physicians and the healthcare system through more efficient care, personalized solutions and reduced costs.
The document summarizes Dougal McKechnie's presentation on health IT in New Zealand. It discusses the New Zealand Health IT Cluster alliance and its role in facilitating collaboration. It also outlines challenges facing New Zealand's health system and opportunities for health IT, including the draft National Health IT Plan and developing New Zealand as a global eHealth research and development laboratory.
This document presents a mobile eHealth solution for patients in emerging countries. It discusses background issues like resource anomalies in rural/urban communities and proposes developing an optimal eHealth solution for Sri Lanka. The research methodology, technical solution including a web-based EMR system and mCommunication system, and post-analysis of clinical efficiency and contribution to patients are described. Future work areas like enforcing industry standards and rapid development are also outlined.
The document summarizes a presentation on medical coding given by Melanie Endicott. The presentation covered topics including health information management, common medical code sets like ICD-10, CPT, and HCPCS, and how accurate clinical documentation is linked to proper medical coding and DRG assignment. The goal was to provide an introduction to medical coding for attendees.
Drawing upon our extensive healthcare knowledge and dedicated technology and data protection teams, we will consider how to navigate the potential pitfalls of using technology to provide remote consultations, both within the UK and further afield.
Through the consideration of a case study, our speakers will analyse:
• the regulatory regime - CQC registration, indemnity chains, insurance
• protecting IP - cloud based computing and contractual protections
• E-commerce - on-line payments and cooling off periods
• DPA and IG - risk when providing services overseas and what happens if IG is breached.
This document discusses the importance of electronic health records and clinical decision support systems for improving healthcare quality and reducing costs and errors. It notes that healthcare information is essential for providing and managing patient care. Clinical decision support systems can help ensure best practices are followed and reduce unnecessary tests and costs. However, the document also finds that healthcare practices still vary greatly between regions and clinicians due to complexity, uncertainty and lack of evidence. More high-quality data and decision support are needed to address these issues and improve consistent high-value care.
The document discusses the physician voice in adopting new technologies like electronic medical records (EMRs). It notes that the physician voice has both an external role advocating for patients and an inner role considering personal impacts. Successful adoption requires addressing physician concerns about privacy, workload, and local needs through collaboration between physicians and other stakeholders. It outlines models used in Vancouver Coastal Health to engage physicians through user groups and champions to provide feedback and guide implementation.
A clinical information system (CIS) is a technology-based system used at the point of care to support processing and storing patient information. It includes electronic health records, clinical data repositories, decision support, and communication tools. Implementing a CIS requires representation from all areas of healthcare to ensure success. Effective CIS can reduce errors, improve guideline-based care, and decrease healthcare utilization through components like clinical decision support systems. However, ensuring data security, accuracy, and privacy is important when using and networking CIS.
1) The document discusses how healthcare companies need to deliver a remarkable customer experience through cognitive technologies, mobile access, and personalized engagement within the next 2-3 years.
2) It proposes a cognitive healthcare concierge that collects patients' health data daily, analyzes the information, provides health recommendations and advice, schedules appointments, refills prescriptions, and more - all through natural interactions like saying "OK Google."
3) The benefits of this cognitive healthcare concierge model include increased patient acquisition and retention, improved care, driving wellness programs, and making the healthcare experience as easy as other consumer-focused companies.
The healthcare delivery model has changed due to consumer expectations shaped by other industries. Consumers now expect ease of access, personalization, and omni-channel options similar to retail. This has led to the rise of retail healthcare clinics and telehealth. During COVID, telehealth visits increased dramatically as consumers chose the most convenient options. The traditional primary care model was not convenient for consumers and retail healthcare options now provide a more seamless experience for patients from diagnosis to treatment.
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Advanced health technologies and budgetary implications -- Valerie Paris, OECDOECD Governance
This presentation was made by Valérie Paris, OECD Secretariat, at the 6th Meeting of the Joint OECD DELSA-GOV Network on Fiscal Sustainability of Health Systems, held at the OECD Conference Centre, Paris, on 18-19 September 2017
Chapter 13 national health information systemnaranbatn
1. The document discusses the national health information system in Korea and provides details on the community health information system, future e-health models, and hospital information systems.
2. It outlines Korea's plan for a national health information system, including developing health information standards, implementing an electronic health record system, and revising medical laws regarding e-health.
3. Barriers to the national health information system are also discussed, such as the asymmetry of costs and benefits of electronic health records and the absence of interoperability standards.
Ruud Simons, a program manager from Nictiz in the Netherlands, gave a presentation on personalized medicine from the perspective of health insurers. He discussed several key points:
1) Achieving the "triple aim" of improving patient experience, population health, and reducing costs through practices like benchmarking expensive drugs and treatments tailored to individuals.
2) The importance of standards, interoperability, and international cooperation to connect initiatives and share best practices.
3) The role of patient registries and empowerment in combining data to support clinical decision making and providing patients access to their own health information.
Process Automation in Telemedicine - The Italian PerspectiveDenis Gagné
Presented by Baxter, with the participation of Telemedicine Observatory by ALTEMS (Università Cattolica del Sacro Cuore, Rome).
Stefano Collatina, Country Head Baxter Italy
Prof. Fabrizio Ferrara, Universita Cattolica del Sacro Cuore
Simone Naso, Digital Health Specialist, Baxter Italy
Health care delivery in Italy represents a number of challenges, including the regulatory requirements and the regional differences. Telemedicine has the potential to provide more cost-effective care, especially for vulnerable populations such as the elderly. In this webinar the unique needs of Italy will be discussed and how they can be addressed by standards-based process automation.
Official Representative of the International Research ofthe Mission for European and International Relation and Cooperation (MREIC) ofthe French National Health Insurance Fund (CNAMTS)
Irish HSE EHR strategic business case master briefing deck v1.43GDR
The document outlines the objectives, components, and benefits of developing a National Electronic Health Record (EHR) system in Ireland. It aims to create understanding of the EHR as critical to healthcare reform by enabling data sharing across settings. The EHR would include electronic patient records, order communications, test results, and more. International examples show EHRs can reduce costs, errors, and improve outcomes. The briefing also discusses stakeholder engagement to develop the approach, proposed core solutions, and a phased implementation strategy.
NHS Scotland Ehealth Strategy - Alan Hyslophealthcareisi
This document summarizes Scotland's approach to eHealth and strategy for a national electronic health record system. Some key points:
- Scotland has a federated health system with 14 regional health boards and over 1000 GP practices.
- The strategy focuses on incremental improvements, partnerships, and ensuring the right information is available to clinicians.
- Key early successes included a unique patient ID, online test results, and a national emergency care summary covering 99.9% of the population.
- Future areas of focus include electronic records for palliative care patients and a "key information summary" to facilitate coordinated care across providers.
Role Of The EMR In Healthcare Transformationdalesanders
1) Technology alone cannot transform healthcare; it must be coupled with changes to business processes and clinical culture.
2) The HSA faces a strategic decision about its EMR system as its contract with Cerner expires in 3 years. Cerner accounts for 85% of HSA's IT budget but may not meet all of its needs.
3) If invested wisely, EMRs and IT can drive improvements in clinical quality, safety and productivity through analytics, decision support, and lower costs over time through commoditization of services. The Cayman Islands is well positioned to be a leader in healthcare transformation through strategic use of technology.
The document discusses innovative technology to improve medication adherence. It notes that between 30-50% of prescribed medicines are not taken as recommended, costing the NHS billions. The YOURmeds system is presented as an intelligent medication packaging solution that provides reminders and monitoring to improve adherence. It consolidates medications into clear blister packs with reminders. Sensors track when medications are accessed and share this data through a portal. The system aims to increase social care capacity by replacing some visits with remote monitoring. Clinical trials are planned to study its impact on conditions like heart failure and diabetes that account for a large burden on the healthcare system.
Telehealth Remote Monitoring and Diagnostics proposes a telehealth solution to connect patients with a network of physicians using mobile technologies. This provides easier access to care for patients while increasing productivity and reducing costs. The solution involves patients sending health data like photos and descriptions to telehealth providers. Physicians can then diagnose patients and send prescriptions without requiring in-person visits. Aggregated patient data also allows for improved resource allocation and outbreak detection. The business aims to benefit patients, physicians and the healthcare system through more efficient care, personalized solutions and reduced costs.
The document summarizes Dougal McKechnie's presentation on health IT in New Zealand. It discusses the New Zealand Health IT Cluster alliance and its role in facilitating collaboration. It also outlines challenges facing New Zealand's health system and opportunities for health IT, including the draft National Health IT Plan and developing New Zealand as a global eHealth research and development laboratory.
This document presents a mobile eHealth solution for patients in emerging countries. It discusses background issues like resource anomalies in rural/urban communities and proposes developing an optimal eHealth solution for Sri Lanka. The research methodology, technical solution including a web-based EMR system and mCommunication system, and post-analysis of clinical efficiency and contribution to patients are described. Future work areas like enforcing industry standards and rapid development are also outlined.
The document summarizes a presentation on medical coding given by Melanie Endicott. The presentation covered topics including health information management, common medical code sets like ICD-10, CPT, and HCPCS, and how accurate clinical documentation is linked to proper medical coding and DRG assignment. The goal was to provide an introduction to medical coding for attendees.
Drawing upon our extensive healthcare knowledge and dedicated technology and data protection teams, we will consider how to navigate the potential pitfalls of using technology to provide remote consultations, both within the UK and further afield.
Through the consideration of a case study, our speakers will analyse:
• the regulatory regime - CQC registration, indemnity chains, insurance
• protecting IP - cloud based computing and contractual protections
• E-commerce - on-line payments and cooling off periods
• DPA and IG - risk when providing services overseas and what happens if IG is breached.
This document discusses the importance of electronic health records and clinical decision support systems for improving healthcare quality and reducing costs and errors. It notes that healthcare information is essential for providing and managing patient care. Clinical decision support systems can help ensure best practices are followed and reduce unnecessary tests and costs. However, the document also finds that healthcare practices still vary greatly between regions and clinicians due to complexity, uncertainty and lack of evidence. More high-quality data and decision support are needed to address these issues and improve consistent high-value care.
The document discusses the physician voice in adopting new technologies like electronic medical records (EMRs). It notes that the physician voice has both an external role advocating for patients and an inner role considering personal impacts. Successful adoption requires addressing physician concerns about privacy, workload, and local needs through collaboration between physicians and other stakeholders. It outlines models used in Vancouver Coastal Health to engage physicians through user groups and champions to provide feedback and guide implementation.
A clinical information system (CIS) is a technology-based system used at the point of care to support processing and storing patient information. It includes electronic health records, clinical data repositories, decision support, and communication tools. Implementing a CIS requires representation from all areas of healthcare to ensure success. Effective CIS can reduce errors, improve guideline-based care, and decrease healthcare utilization through components like clinical decision support systems. However, ensuring data security, accuracy, and privacy is important when using and networking CIS.
Similar to Em Rgemcy Medicine Event 121009 Joint Ppt Final (20)
1) The document discusses how healthcare companies need to deliver a remarkable customer experience through cognitive technologies, mobile access, and personalized engagement within the next 2-3 years.
2) It proposes a cognitive healthcare concierge that collects patients' health data daily, analyzes the information, provides health recommendations and advice, schedules appointments, refills prescriptions, and more - all through natural interactions like saying "OK Google."
3) The benefits of this cognitive healthcare concierge model include increased patient acquisition and retention, improved care, driving wellness programs, and making the healthcare experience as easy as other consumer-focused companies.
The healthcare delivery model has changed due to consumer expectations shaped by other industries. Consumers now expect ease of access, personalization, and omni-channel options similar to retail. This has led to the rise of retail healthcare clinics and telehealth. During COVID, telehealth visits increased dramatically as consumers chose the most convenient options. The traditional primary care model was not convenient for consumers and retail healthcare options now provide a more seamless experience for patients from diagnosis to treatment.
The document discusses opportunities to improve the patient experience for accessing healthcare. It notes that patients now expect seamless, on-demand access across any channel based on experiences with other industries. However, most healthcare organizations still focus primarily on phone-based access and measure success based on call metrics rather than the patient perspective. The document advocates designing access with a patient-centered, omni-channel approach to provide a consistent experience across online, mobile, phone and social media channels. This would better meet evolving patient expectations for convenient, on-demand access to information and services.
The document discusses healthcare consumerism and its implementation. It makes the following key points:
1. Consumerism in healthcare affects all stakeholders, including patients, families, physicians, and prospective patients. However, consumerism experiences are generally negative for patients.
2. Simply defining consumerism is not enough - healthcare organizations must champion it, incorporate it into strategies and budgets, and develop executable plans.
3. CMS heavily influences healthcare business strategies and definitions of concepts like patient experience, but its approach is limited and excludes important stakeholders and touchpoints.
The document discusses improving patient access experiences for healthcare providers. It notes that providers have innovated access by using better phone systems to answer patient calls, which has led to benefits like reducing call volumes by 30% and saving $900,000. Improved scheduling applications helped increase capacity by 15% while reducing cancellations and no-shows by 20% each. The document also discusses factors contributing to poor access, the business challenges it creates, what makes consumers switch providers, and the returns on investment that can come from improving the patient access experience through reducing call volumes, wait times and providing effective alternative access channels.
Pale Rhino is a consulting firm that helps healthcare providers improve patient access and experience. They conducted an engagement with a large teaching hospital to create a strategy for the hospital's call center. Pale Rhino assessed the current call center, identified gaps in functionality and ability to handle different call types. They recommended implementing a CRM system, expanding call center services and hours, and developing a coordinated digital access strategy including a patient portal and mobile access to provide a seamless omnichannel experience for patients. The new strategy aimed to improve caller and employee satisfaction while achieving key performance metrics for the health system.
Readmission rates remain high and unchanging. Why not rethink the problem. What if readmission rates could decrease by 20-30% by using an interactive discharge portal that allowed the discharged patient to enter data that would be reviewed by their provider.
Pale Rhino Consulting is a business consulting and technology solutions company focused on enabling healthcare providers and payers to improve patient and customer experience and access. The document discusses how most providers currently do not have a comprehensive strategy for how people access and experience their healthcare, with many access points being unsatisfactory and the experiences of most stakeholders being unknown. It then outlines Pale Rhino's approach to helping providers develop an enterprise-wide patient access and experience strategy, with the goals of improving satisfaction, referrals, retention, and health outcomes while reducing costs. The strategy involves assessing current access points and experiences, defining personas and journeys, designing new strategies, and creating roadmaps for implementation.
This document discusses moving from a patient experience management model focused on internal systems and transactions to a patient equity management model focused on emotional value and relationships from the patient's perspective. It argues that hospitals should view themselves not just as healthcare providers but also in the business of "decommodifying" to differentiate their brand. Rather than using technology primarily for efficiency, hospitals should use it and other initiatives to actively grow, retain and service their patient base in order to increase lifetime patient value and profitability. The focus should shift from the enterprise to individual patients and their connections to create a more personalized experience across any access channel.
The biggest reason existing population health management efforts will fail to be effective is that providers have no idea of the status of a person's health if the patient is not in the hospital. Providers must create a way for patients to communicate their health for all of the days they are not inpatients.
The entire rectangle depicts a person’s expectations. The light blue area depicts
experiences hospitals measure. The RED areas depict what hospitals know about
about the expectations. (There are no RED areas.)
This document outlines the current process for scheduling appointments and lab work at a hospital, which involves patients calling in and providing their information to schedulers multiple times, being placed on hold, and schedulers manually entering the information. It suggests allowing patients to enter their own information and schedule appointments online for a more streamlined experience.
Most hospital websites lack a clear call to action on their landing page and have confusing navigation that frustrates visitors trying to find important information like scheduling an appointment. This leads many people to abandon the site and seek healthcare elsewhere without the hospital ever knowing they were a prospective patient.
The document discusses how payers must change their approach to better manage population health and accountable care. Specifically:
- Payers currently only interact regularly with 20% of members through monthly bills, but will need to engage more members to improve outcomes.
- The member experience needs to be omni-channel, interactive, cognitive, and mobile-first to better engage individuals.
- The payer business model will shift from business-to-business to consumer-focused in order to retain and service more individual customers.
- Payers currently do not have the right systems or data to effectively support individual members and need strategies to improve care, wellness, and population health management.
The document discusses the need for hospitals to look beyond HCAHPS scores when measuring patient experience and satisfaction. It proposes that hospitals should measure their "Total Quality of a Person's Encounter" (TQE), which takes into account a patient's entire experience before, during, and after their hospital visit, including both clinical and non-clinical interactions. The document lists 27 questions hospitals should be able to answer to better understand their TQE, such as what touchpoints have the greatest impact on patient experience, what percentage of patients they retain and receive referrals from, and what patients would change to improve their experience.
The document discusses the Total Quality of a Patient's Encounter (TQE), which aims to provide a remarkable experience for patients at every step of their healthcare journey, from pre-hospitalization through post-hospitalization. It notes that hospitals often ignore aspects of a patient's experience outside of direct clinical care, such as interactions with staff, amenities, and digital/administrative services, which can impact patient satisfaction and the likelihood they will return or refer others. The graphic shows the many touchpoints before, during, and after hospitalization that contribute to a patient's total experience of quality.
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2. Agenda
Opening Remarks Dr. Michael Fossel
Understanding the HITECH Act Dr. Kennedy Ganti
and the EMR Mandate
Lessons Learned: A European Jean-Michel Van
Perspective on EMR’s effect on
savings costs, lives & time
Increasing Your Chances for Paul Roemer
Success: What are the Critical
Success Factors for EHR/EMR
Break
Thought Leadership Panelists
Discussion
Open Q&A
Networking & Dessert
| 2
6. People will never laugh at
anything that is not based on
truth.
- Will Rogers
I feel like I’m working for the
computer, rather than it working
for me.
MD, Iowa, 2007
| 6
9. Extormity and ARRA’s meaningful use
"Our legal team is expending incalculable billable hours to develop a
carefully worded statement that will depict in illustrative terms our
commitment to helping customers and prospects move toward the
eventual demonstration of meaningful use," explained Extormity chief
financial officer Samantha James in a carefully worded statement.
"It is common knowledge that meaningful use criteria are not fully
defined, so Extormity is taking great care not to issue an ironclad, no
exceptions guarantee," added James. "However, we plan to provide
the market with a vague impression of intent designed to inspire a
tinge of confidence and an indication of some degree of willingness to
comply at some future point, all without creating a legal obligation or
definitive pledge to deliver an actionable event."
| 9
11. Nothing new under the sun...
Who and when?
Florence Nightingale
1863
―Notes on Hospitals‖
Source: London: Longman, et al.
| 11
12. Potential Benefits
Reduce errors
More ―intelligent‖ care
Real-time data
Better communication & documentation
Secure (and HIPAA compliant) data
Reduced labor costs
Reduced litigation
Automated workflows
| 12
13. Costs of doing nothing…
• 33 cents/dollar spent is non-clinical
Consider:
>90% of ~30 billion transactions/year by phone, fax, or mail
Physicians spend an estimated:
20-30% searching for information
38% documenting (nurses 50%)
Records misplaced in 30% of visits
Patients average 13 pieces of paper/visit
Offices average $10/visit on paper records
Patient records average 3.3 kg
| 13
14. Deadlines are nearing, penalties are looming
Why hesitate?
Ill-defined requirements
Unanswered questions
The opportunity to learn from others
Successes in the EU and US
How do we achieve success?
| 14
16. Dr. Kennedy Ganti | NJ Health IT Commission Chair
UNDERSTANDING THE HITECH ACT AND THE
EMR MANDATE
| 16
17. Stimulus, Software and Sense
Understanding the Fundamentals of Electronic
Health Data Use and Exchange:
| 17
18. The Case for Health IT Adoption
Computerized health data: nothing new
Since the 1970s
At centers like Boston, Indianapolis and Salt Lake City
Electronic medical records such as VA Vista were created
Central data repositories
Enter the Electronic Medical Record
Collection of related pieces of health data on a person's health and
disease
Electronic version of the standard medical charge
Data can be structured
Data can be shared
| 18 1
19. The Case for Health IT Adoption
Making better decisions- clinical decision support
Drug-drug interactions
clinical reminders for preventative services
'red flags' on structured lab data
ePrescribing- tracking meds better
Know if patient actually filled a script
Track prescribers tendencies
Connecting the dots
| 19 1
20. HITECH: Adding fuel to the fire
Health Information Technology for Economic and Clinical
Health Act
Makes federal funding and planning resources to build an
interconnected, interoperable national health data exchange
network
Provisions:
$18 billion for CMS to promote "meaningful use" of EMR systems
$2 billion for ONC for infrastructural upgrades in HHS, education of health IT professionals,
promotion of interoperable clinical data repositories
$1 billion to Federally Qualified Health Centers (FQHC) for renovation and acquisition of
health IT systems
$550 million for Health IT and other uses for Indian Health Services
$300 million to support regional and sub-national efforts for HIEs
$40 million to be used by Social Security Admin to use EMRs to submit disability claims
| 20 2
21. Meaningful Use
Policies, standards and metrics that guide clinical usefulness of
EMRs
Specifies goals by policy, patient setting and time (every two years
starting in 2011)
Guide for CMS for promoting incentive payments and eventually
non-use penalties
Has harmonized goals between ambulatory and inpatient care
Pro- grounded in sound clinical and health policy principle
Con- Not very helpful in other care settings (Long term care,
physical therapy, etc)
| 21 2
22. Jean-Michel Van | Cegedim Healthcare Software (CHS)
LESSONS LEARNED: A EUROPEAN
PERSPECTIVE ON EMR’S EFFECT ON SAVING
COSTS, LIVES AND TIME
| 22
23. Group’s Expertise
Cegedim Group
2008 : €849 million with 8,200 employees (80 countries)
Cegedim Healthcare Software (CHS)
29% of group’s activity
Main market in western Europe
a) Healthcare provider
b) #1 in France, #2 in the UK, #1 in Italy, #1 in Spain, #2 in Belgium
Definition of EHR:
Data exchange, e-prescribing, CPOE, e-claim
| 23
24. Adoption Rate Across Top Countries
1. Early starters
Fig 1- Use of EHR Systems in Hospitals Fig 2 - Use of EHR Systems by Primary Care Physicians
Percentage of Hospitals Using Percent of Primary Care Physicians
Country EHR Systems Country Using EHR systems
DENMARK 65 DENMARK 95
FINLAND 100 FINLAND 95
SWEDEN 88 GERMANY 42
France 40 France 70
SPAIN 70 NETHERLANDS 98
US 8 SWEDEN 100
UK 89
US 28
Sources: Castro, D. ITIF, Sept 2009
a) European initiatives earlier than US (Northern Europe): early 1980’ 90’
with e-claims submission, e-referral, e-clinical record
| 24
25. US and EU: Similar Barriers
1. Privacy issues
a) Danish Web portal Sundhed.dk= privacy functions! Thru Digital Signature, access tracking (40%
healthcare related Internet traffic)
b) Sweden: Good Policy - government-run database (4 to 5 % opt out)
c) Netherlands: stored in healthcare providers. Privacy control (2% opt-out)
2. Data ownership
a) Patients do not manage their data but own them and decide who can view/modify them
3. Cost of IT adoption
Fig 3 – Cost of IT Adoption and % of total cost
Denmark Small subsidies (30%)
Netherlands Tax deductible and incentive payments for every patient (50%)
UK Financial incentives (75%)
France Subsidies (75%)
Spain Financial incentives (90%)
Source: Gartner, Ministry of Health Sweden and Sécurité Sociale Report France | 25
26. Benefits of e-Health
(France, Spain, Holland, UK, Denmark, Czech Republic )
1. ROI ? Yes
2. Benefits for Patient Safety (2005-2008)
15% reduction in prescription errors/year = Electronic Transfer of
Prescription
France: 200,000 reduction of prescription errors
Czech Republic: 75,000 reduction of prescription errors
Netherlands: 26,000 medication errors through CPOE and CDS
Six States: potential reductions of 5 million outpatient prescription
errors across the studied states
Source: Gartner, Ministry of Health Sweden and Sécurité Sociale Report France
| 26
27. Benefits of e-Health
(France, Spain, Holland, UK, Denmark, Czech Republic )
3. Benefits for Quality of Care
UK: over 250,000 surplus laboratory tests were avoided since 2005
France : 11,000 readmissions to hospital for CHF were avoided
through EMR (an additional 26,000 savings of over €110 million,
if full elec.)
4. Increasing Physician Availability
UK: Over 90,000 appointments covered through “Did Not Attends”
option enabled by Electronic Appointment Booking (600,000)
Czech Republic: Almost 560,000 bed-days were become available
every year through Telemedicine, direct saving of €32 million
Sweden: Over 92,500 GP appointments/year were made available
alone through the use of web-portal
Source: Gartner, Ministry of Health Sweden and Sécurité Sociale Report France
| 27
28. Mid + Long-term Costs & Benefits
(France, Spain, Holland, UK, Denmark, Czech Republic)
1. Benefits on Annual basis
Average HPOs : annual benefits = annual costs year 3
Fig 4 - Annual Costs And Benefits Of E-Health 60 Sites From 1994 To 2008, In € Mill
Present value of annual costs Present value of annual benefits
| 28
Source: European Commission « Economic Impact of eHealth Report » 2008
29. Mid + Long-term Costs & Benefits
(France, Spain, Holland, UK, Denmark, Czech Republic)
2. Benefits on Cumulative basis
Average HPOs: annual benefits > annual costs year 5
Cumulative benefit by 2008: € 330 million
Cumulative investment costs (incl. operating expenditure): €155 million
Fig 5 - Cumulative Costs And Benefits Of E-Health 60 Sites From 1994 To 2008, In € Mill
2500
1500
500
Present value of cumulative costs Present value of cumulative benefits
| 29
Source: European Commission « Economic Impact of eHealth Report » 2008
30. Future of the US e-Health
Each country is different
There is no one best practice!
Same strong signals as in Europe
a) National leadership groups, CCHIT
b) Set of Standards, HL7, SNOMED
c) Incentives
d) Top-down communication
| 30
31. Thank You for Your Attention
« Yes, you can!!! »
| 31
32. Paul Roemer | Managing Principal, Healthcare IT Strategy
INCREASING YOUR CHANCES FOR SUCCESS:
WHAT ARE THE CRITICAL SUCCESS FACTORS
FOR EHR/EMR
| 32
33. EMR—What Should I Know?
What is the elephant in the room?
What does this mean—EMRs must be interoperable
& interconnected?
Know before you buy—what connects to what?
If EMRs aren’t connected, doctors will still need electronic and
paper files
| 33
34. EMR—Where Does that leave you?
Focus on yourself, on what you control
Don’t let Washington drive your decision
ARRA
Certification
Meaningful Use
Decide why EMR is right for you
Figure out what your team should include
Define your requirements
Set a budget
| 34
35. EMR—Fail Safe Points
What are the EMR Fail Safe Points (FSPs)?
EMR is healthcare’s Y2K time bomb.
There a is concurrent national rollout of EMR; standards not
available until 2010.
The costs are very high, so are the penalties
1/3rd to 2/3rd of EMRs implemented have failed
There may not be time to earn the incentives
| 35
36. EMR—Ambulatory Practices
A good argument can be made for waiting. Within 12-18
months they will likely have the opportunity to acquire a
plug-and-play EMR in-house or SaaS, including:
Project management
Selection
Implementation
Adapting workflows
Training
Support
| 36
37. EMR is Wide Open
New England Journal of Medicine (NEJM) received
responses from 63.1% of hospitals surveyed:
Only 1.5% of U.S. hospitals have a comprehensive electronic-
records system present in all clinical units.
7.6% have a basic system present in at least one clinical unit.
Computerized provider-order entry for medications has been
implemented in only 17% of hospitals.
Respondents cited capital and maintenance
costs as the primary barriers to implementation
| 37
38. EMR
if it doesn’t connect…
Just because EMR’s have been implemented,
doesn’t mean they’re of much value.
“I've witnessed more serious errors with the EMR than in my
previous 25 years as a physician.”
Christine A. Sinsky, MD
"...our system for delivering medical care is clearly in crisis...At
the heart of the problem is the fragmented nature of the way
health information is created and collected,"
Bill Gates
Most EMRs don’t operate beyond the walls of the
building in which they were implemented
| 38
39. EMR
Are you ready?
Enterprise
Readiness
Assessment
Federal funding
EMR Incentives, Implementation
grants Playbook
Readiness And penalties
Methodology
has a 6 phase
scorecard.
Implementation Risk
Management Assessment
Cost
Benefit/Funding
Analysis
| 39
41. EMR Implementation Playbook
The Implementation Playbook defines a program or set
of projects the enterprise needs to execute in order to
implement EMR. Potential projects may include:
Requirements
SW selection
Change Management
Integration
Policy, Procedure or Process
Training
| 41
42. Enterprise Risk Assessment
The Enterprise Risk Assessment should help you
identify potentially fatal EMR implementation risks:
Staffing
Program management
Readiness
| 42
43. EMR Cost Benefit/Funding Analysis
The Cost Benefit Analysis identifies:
The cost of implementation and the level of funding
necessary to successfully implement EMR
Funding sources such as grants or federal government
loans
The short term costs and the long term benefits
ROI development and monitoring
| 43
44. EMR Implementation Management
Implementation Management oversees projects to
successfully implement each EMR project managing:
Project task management
Budget, Schedule, & ROI
Issues tracking and resolution
Staffing and skill requirements
Project accountability and visibility
| 44
47. Overview
Panel:
What is an EMR? Dr. Naomi Grobstein
Meaningful use Dr. Kennedy Ganti
Implementation Dr. Ganti/Dr. Fossel
Interoperability Paul Roemer
Which vendor? Dr. Spencer Kroll
Are EMR’s good? Jean-Michel Van
Getting reimbursed Dr. Kennedy Ganti
Who owns the data? Dr. David Memel
Q&A
| 47