Luncheon/Keynote Session (Jonathan Bush)

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The document discusses three types of connectivity: intra-operability, inter-access, and open platforms. Intra-operability refers to the ability of different parts of an organization to share information. Inter-access is the ability of one entity to share information with another. Open platforms allow users to control information on any platform in a market. The document advocates for open platforms to improve connectivity across the healthcare system and allow organizations to work as one.

Connecting
the disconnect
Jonathan Bush
Chairman and CEO, athenahealth
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Upper-Right
Quadrant Syndrome
URQS
Upper-Right
Quadrant
Syndrome
Protect &
Defend
Compete
& Innovate

Intra-operability
- vs -
Inter-access
- vs –
Open Platform

Intra-operability
Ability of one part of yourself to
share information with another part.

HL7 was designed to glue together
departments within the 4 walls of a hospital
Intra-operability

10
Top EHR implementation challenges
•  Cost to maintain an EHR
•  Capex
•  Lack of staff onsite to manage the EHR
•  Lack of physician cooperation
SOURCE: U.S. News “Most Connected” survey, 2015

Only 14%
of physicians have
access to usable EHR data across
care delivery sites

12
Inter-access
The ability for one entity to share
information with another one.

Avg. wait time under
8 min.
Avg. door to door time for patients is
45 min.
Patients register via mobile tablet,
saving
2½ minutes per patient
⅕ the cost
of the ED

Less work.
3-5min. workflow
Next day PCP appointments.
Higher patient sat.

Meaningful Use Stage 2 is an essential enabler
of a cross-organization network facesheet

21
It seems that the
floodgates are
starting to open.

Open Platform
The ability for users of a platform to
remotely control information on any
other platform in a market.

Open Platform:
Candescent Health
Nerve Center
monitors every case
Rules engine
routes cases to the
right radiologist Radiologist dashboard
provides performance feedback.

25
Open Platform:
Allowing for different growth chart visualizations

Open platforms allow us to
work as one.
What is your
strategy?

30
HospitalPractice Practice
Imaging
Lab
Population
Health
Specialty
Pharmacy
Hospital
Competitor
Hospital
Competitor
Hospital
Competitor
Hospital
Competitor

www.letdoctorsbedoctors.com
#letdoctorsbedoctors

Patient- and workflow addressing the root cause for the big three: 1. Unsustainable costs 2. Unacceptable quality issues (especially deaths from preventable medical errors) 3. Frustration among clinicians due to administrative and duplicate work. Which of course also spells a way better workday for all clinicians and hence patients. Bonus is a nation wide single health record, automation of administration and total patient-centricity.

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Medical Transcription Service Company

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CHIRANTAN BOSE MD.,IFCAP.

This document discusses productivity tools in healthcare IT systems and their relationship to patient care. It begins by outlining the concept of using electronic medical record (EMR) and laboratory information management system (LIMS) data to develop more objective measures of clinical management. The present scenario section notes that EMR implementation can initially lower but later increase physician productivity. It also stresses the need to continually adapt processes. Several challenges of EMR are presented, including difficulties with longitudinal patient tracking across multiple providers and issues with system usability and financial impacts. The solution involves using healthcare IT systems to integrate and analyze longitudinal patient data from various sources to facilitate more objective clinical decision-making and monitoring of metrics like productivity and efficiency.

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The document discusses how big data and analytics are being used in healthcare to improve outcomes. It provides examples of how the State University of New York used big data to study multiple sclerosis, how a university in Ontario used it to improve neonatal care, and how a European network used it to predict HIV treatment responses. The document also introduces IBM Watson and cognitive computing as a way to help physicians and patients through natural language processing and learning from interactions.

Big Data to Artificial Intelligence in Healthcare

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Researchers and care providers wanted to have access to all of the patients` vitals signs (temperature, blood pressure, heart rate, and respiratory rate) but most of this data wasn?t recorded, only a few readings a day were posted to the patients Electronic Medical Record (EMR). The EMR isn`t meant to store such volume of data, let alone to perform any data mining on it. This session will describe the architecture of the solution that was implemented to collect these vital signs automatically from Bedside Medical Devices (BDMI), and store them into a temporary storage, then load them into a Hadoop cluster. The session will also cover how the team married this vital signs data in the HDFS (Hadoop File System) with the rest of the EMR data for our Principles Investigators (PI) in our research institute to search for correlations between administered medications, diagnosis, and vital signs readings. The session will describe the reasons behind the design decisions that were made, such as using a Cloud Hadoop cluster versus on-premises while maintaining HIPAA.

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This document discusses the potential benefits of implementing an electronic medical records (EMR) system in Sri Lanka based on the US model. Key benefits include more efficient healthcare through electronic capture and sharing of patient information, automated appointments, and lower costs over time. Challenges to implementation include infrastructure needs, managing medical professional buy-in, and ensuring security of patient information. The document proposes a phased multi-year government-led project to develop an EMR prototype and enable hospitals to access patient health records.

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Big data has the potential to improve healthcare in several ways: 1) It is currently being used for predictive modeling, intelligent staffing, real-time alerts, and telemedicine. 2) In the future, it could help with outcome research, local quality improvement, developing disease models, and improving treatment pathways. 3) If hospitals collaborate and share big data, it may help with tasks like image recognition, risk stratification, disease prognosis, clinical event prediction, and defining new diagnostic and treatment strategies.

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Patient engagement can be improved through the use of information technology like MyChart and home monitoring devices. These tools allow patients to upload health data like vitals from home to their electronic health records for their doctors to review. Physicians can then better monitor patients between office visits and patients have more access to their health information to stay informed and engaged in their care.

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This document discusses strategies for electronic health records (EHRs) and compares centralized, top-down approaches to more incremental, bottom-up methods. It summarizes experiences with large national EHR programs in the UK, Canada, Australia and New Zealand that struggled due to a lack of local involvement and clinical benefits. Alternative approaches seen in Holland, Denmark and New Zealand that focus on clear objectives, flexibility and incentives are highlighted. The document advocates experimentation and collaboration over rigid centralized systems based on structural paradigms.

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The document summarizes a typical day for a primary care physician at a clinic located 30 miles from the nearest hospital. The physician sees 20-24 patients per day, conducts 1-3 procedures, attends 1 meeting, and responds to 20-40 asynchronous messages from nurses, patients, and colleagues. They also face 10-15 interruptions from pharmacies, phone calls, and drug representatives. The implementation of an electronic medical record system has helped by eliminating paper chart pulls and creation, allowing instant access to patient records and test results instead of 24-48 hour delays, and reducing phone calls by 1-2 hours per day. However, interruptions remain a challenge and decision support could be improved, such as smarter pharmacy selection

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Poor processes put patient data at risk

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Health IT seminar review

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Hospital Management and Inventory Control Solution for Public Hospitals in De...

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Historic underinvestment in public health has left Ecuador with one of the most inefficient health systems in the region. The Problem Little info sharing The lack of interoperable systems and records management contributes to a lack of understanding of public health needs leads to treatments that don't really address overall health issues Bureaucracy Public health employees are engaged in redundant administrative tasks that divert resources from patient care and clog system PAPER RECORDING OF INFORMATION Medical assistants need to manually fill in 5 different records (1 per prescription), they first do it in paper and then typed it in the computer since the Wi-Fi is not reliable. Excessive waits Lead times for getting appointments in and long check in processes lead to patients abandoning preventative care that could save money and improve patient outcomes Most people we surveyed complained about lead time. It becomes even more aggravating when it’s an emergency. Abuse and waste Inability to track prescriptions and inventory offer opportunity for abuse that undermines the system's overall quality The result: Costly, Inefficient and non-citizen centric public healthcare system The result: Costly, Inefficient and non-citizen centric public healthcare system

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Swiss eHealth Forum

1) Doctors spend around 1/3 of their time on administrative work like documenting patient information, which is often scattered or missing. 2) Only 30-60% of doctors in Germany and Switzerland use electronic health records (EHRs), and around 50% of those users are unsatisfied with their current EHR. 3) rockethealth is a new mobile electronic health record that allows secure and structured documentation of patient information from any location using a tablet or web-based system. It aims to save doctors time during documentation and improve patient treatment.

Ehr As We See It

IBM Global Healthcare Consumerism Leader

The document discusses several key points about electronic health records (EHRs): 1) Currently, none of the EHR vendors meet federal requirements because their systems are not interoperable between each other. 2) For EHRs to have value, they must be interconnected and allow information to be shared between different providers and organizations through regional and national health information networks. 3) A network of interconnected EHRs has much higher value than individual systems that are not connected.

3.A Basic Overview of Health Information Exchange.pdf

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Webinar: Information Technology: How to achieve interoperability across the c...

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Visit the webinar information page: http://www.modernhealthcare.com/article/20140507/INFO/305079925/ About the Webinar For most healthcare providers, clinical interoperability remains more of a goal than a reality. This year, the feds are ratcheting up the pressure on providers to incorporate information exchange as part of their daily clinical workflows. To do it, they've built several interoperability requirements into the Stage 2 meaningful use criteria of the electronic health record incentive payment program. We'll explore how to leverage meaningful use interoperability as a basis to improve clinical communications between affiliated and non-affiliated providers, increase patient satisfaction and ramp up for the future with value-based, consumer-focused care. Join us for this one-hour webinar to learn: - The basic requirements for interoperability in the Stage 2 meaningful use criteria - Strategies for implementing a compliant data collection and reporting program - Pitfalls to avoid and data interpretation issues that need to be addressed Panelists: Dr. Clifford Martin Chief Medical Officer St. Joseph Physician Network Dr. Richard Schrieber Chief Medical Information Officer Holy Spirit Hospital Erica Galvez Interoperability and Exchange Portfolio Manager Office of the National Coordinator for Health IT Moderator: Joseph Con Health Information Technology Reporter Modern Healthcare

Connected Health Interoperability Platform_White Paper_Cisco UCSF_2016

Wernhard Berger

The document discusses the Connected Health Interoperability Platform (CHIP) being developed by UC San Francisco's Center for Digital Health Innovation and Cisco. The CHIP aims to break down barriers to digital health innovation by creating a platform that connects digital health applications to dispersed patient data through a secure, cloud-hosted system with API services. This will allow applications to access and share data across EHRs, devices, and apps to improve referral management, care collaboration and the patient experience. The platform will include a health applications marketplace, core data and security services, and tools for application development.

Hamann big institution to community care

Trimed Media Group

The document summarizes a presentation on providing collaborative and coordinated care for patients with complex illnesses. Some key points: - To achieve the goals of improved health outcomes, quality of care, and reduced costs ("Triple Aim"), the healthcare system needs to focus on caring for patients with complex chronic conditions who account for a large portion of costs. - Successful models involve interdisciplinary, team-based care coordinated across care settings. CareMore, a Medicare Advantage plan, achieves better outcomes and lower costs through intensive management of frail patients using nurse practitioners, protocols, home monitoring, and an electronic health record. - Clinical IT can support collaborative care by enabling documentation, care planning, decision support, and information

Top 10 Reasons

University of West Florida

There are 10 key reasons why electronic health records (EHRs) are needed and should be open-source according to the author. EHRs are needed because paper records are inadequate, vital information is often missing, retrieval of records is faster electronically, EHRs can be accessed remotely, and they support data mining and disease registries. Open-source EHRs make sense because they are developed with the end-user in mind, allow for customization and sharing of modifications, and are more cost effective especially for small practices. The long-term benefits of EHRs outweigh the challenges but open-source is a good option.

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Regional extension centers (RECs) were created to help physicians implement electronic health record (EHR) systems and achieve meaningful use. However, RECs face limitations including short-term funding, endorsement of select EHR vendors, and lack of experience with all systems. The Veterans Health Administration (VHA) offers a successful example of large-scale EHR implementation through a collaborative development process tailored to clinician needs. While RECs aim to support physicians, their assistance may be constrained without long-term, sustainable support.

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