Speakers: Hon. Ronald J. Hedges, Linda Kloss, & Deborah Kohn, MPH RHIA FACHE
Healthcare organizations are making unprecedented investments in information technology to accelerate the transition from paper to electronic health records as a foundation for improving care delivery.
The health care industry is learning that implementing information management and communications technology does not ensure that information is complete, accurate, reliable, secure, or used appropriately.
In fact, research is revealing new data errors and other information-related unintended consequences can impede safe use of technology.
Read More: http://www.rimeducation.com/videos/rimondemand.php
The document discusses the importance of managing electronic health records as business records. It notes that while paper records still exist, more digital records are being created every day through various systems. Courts now accept secured electronic files and printouts of electronic records as evidence in lawsuits as long as the integrity of the records can be demonstrated. Healthcare organizations must have rigorous policies for retrieving and transmitting original electronic source records in response to subpoenas or requests for patient information. Electronic health records encompass a wide range of digital health information and must be properly managed throughout their lifecycle.
Cut your Business Development time, expense and unproductive activity significantly allowing for speed to market, increase in commercializing IP and begin making decision on forward focused data and innovation instead of looking in the rear view mirror and taking a predatory posture.
Digital signature of electronic dental recordsNielsen Pereira
This document discusses the use of digital signature technology to authenticate electronic dental records and provide them with the same legal validity as conventional paper records. It examines how digital signatures can be applied to each component of the electronic dental record, which may be produced by different parties. The technology guarantees authenticity by ensuring only the genuine signer could have created the signature attached to a document. While electronic records can potentially be manipulated, principles of good faith and burden of proof mean digitally signed records are assumed authentic unless proven otherwise, matching the legal standard for paper records. Widespread use of digital signatures may soon allow full implementation of this proposal to validate electronic dental records legally.
This document discusses Medfx's connected healthcare products and services:
- It outlines Medfx's conceptual architecture for connecting jurisdictions, services, registries and point of care systems.
- The key products - Interchange, Connectfx and Lifescape - are mapped to the architecture and their functions described.
- Principles of the architecture include design for change, loose coupling and open standards.
- Onboarding, operational support, cross-border sharing and strategic partners are also covered.
- Additional contact details are provided for sales and technical information.
Rwandafinalpresentation 130419162730-phpapp02Wendy Leonard
Ruli Hospital aims to improve patient tracking through standardized forms, centralized record keeping using Mutuelle data, and change management. Key recommendations include creating a skills matrix, encouraging cross-team collaboration, standardizing patient records across locations, utilizing existing Mutuelle data, aligning stakeholders, communicating changes, and consolidating gains. Future opportunities involve rotational training programs and expanding the community health worker role for improved patient outcomes.
Creating Value Through Computable Clinical DataRobert Bond
Computable clinical data has numerous high value applications including comparative effectiveness research, personalized medicine, and claims adjudication. I discuss some of the technologies involved in making patient data computable
Event brochure for the upcoming Clinical Data Standardisation and Managment event in London, June.
The event will feature best practice case studies from CDISC
The document describes a proposed mobile diagnostic device from the Hranitel group in Moscow. It would allow remote monitoring of vital signs and diagnosis of medical conditions using sensors, mobile devices, and cloud resources. Key features include non-invasive ECG and blood glucose monitoring. A team of doctors and engineers will develop the hardware, sensors, and diagnostic software. The business plan envisions individual and clinical use, with distribution through online sales, distributors, and government programs. Risks like sensor development delays will be mitigated through iterative design. The total projected budget is 38,500 thousand rubles over 3 years.
The document discusses the importance of managing electronic health records as business records. It notes that while paper records still exist, more digital records are being created every day through various systems. Courts now accept secured electronic files and printouts of electronic records as evidence in lawsuits as long as the integrity of the records can be demonstrated. Healthcare organizations must have rigorous policies for retrieving and transmitting original electronic source records in response to subpoenas or requests for patient information. Electronic health records encompass a wide range of digital health information and must be properly managed throughout their lifecycle.
Cut your Business Development time, expense and unproductive activity significantly allowing for speed to market, increase in commercializing IP and begin making decision on forward focused data and innovation instead of looking in the rear view mirror and taking a predatory posture.
Digital signature of electronic dental recordsNielsen Pereira
This document discusses the use of digital signature technology to authenticate electronic dental records and provide them with the same legal validity as conventional paper records. It examines how digital signatures can be applied to each component of the electronic dental record, which may be produced by different parties. The technology guarantees authenticity by ensuring only the genuine signer could have created the signature attached to a document. While electronic records can potentially be manipulated, principles of good faith and burden of proof mean digitally signed records are assumed authentic unless proven otherwise, matching the legal standard for paper records. Widespread use of digital signatures may soon allow full implementation of this proposal to validate electronic dental records legally.
This document discusses Medfx's connected healthcare products and services:
- It outlines Medfx's conceptual architecture for connecting jurisdictions, services, registries and point of care systems.
- The key products - Interchange, Connectfx and Lifescape - are mapped to the architecture and their functions described.
- Principles of the architecture include design for change, loose coupling and open standards.
- Onboarding, operational support, cross-border sharing and strategic partners are also covered.
- Additional contact details are provided for sales and technical information.
Rwandafinalpresentation 130419162730-phpapp02Wendy Leonard
Ruli Hospital aims to improve patient tracking through standardized forms, centralized record keeping using Mutuelle data, and change management. Key recommendations include creating a skills matrix, encouraging cross-team collaboration, standardizing patient records across locations, utilizing existing Mutuelle data, aligning stakeholders, communicating changes, and consolidating gains. Future opportunities involve rotational training programs and expanding the community health worker role for improved patient outcomes.
Creating Value Through Computable Clinical DataRobert Bond
Computable clinical data has numerous high value applications including comparative effectiveness research, personalized medicine, and claims adjudication. I discuss some of the technologies involved in making patient data computable
Event brochure for the upcoming Clinical Data Standardisation and Managment event in London, June.
The event will feature best practice case studies from CDISC
The document describes a proposed mobile diagnostic device from the Hranitel group in Moscow. It would allow remote monitoring of vital signs and diagnosis of medical conditions using sensors, mobile devices, and cloud resources. Key features include non-invasive ECG and blood glucose monitoring. A team of doctors and engineers will develop the hardware, sensors, and diagnostic software. The business plan envisions individual and clinical use, with distribution through online sales, distributors, and government programs. Risks like sensor development delays will be mitigated through iterative design. The total projected budget is 38,500 thousand rubles over 3 years.
Big data is growing exponentially and changing the world. The digital universe will grow over 40 times in size this decade, with 90% of the data being unstructured. New technologies are enabling companies to harness big data to improve healthcare outcomes, increase retail profits, and make more informed decisions. However, traditional systems are ill-equipped to manage and analyze big data at this massive scale.
Here are some of the types of training/development offered:
- Orientation for new hires
- Mandatory annual training (e.g. compliance, safety)
- Leadership development programs
- Technical/clinical skills training
- Soft skills training (e.g. communication, time management)
- Tuition reimbursement for continuing education
- Online/classroom courses
- Conferences/seminars
- Coaching/mentoring
- Project management training
- Career development planning
Q2: How do employees sign up for training?
A2: Employees can sign up for training through the online Learning Management
System (LMS). Managers should discuss training needs and interests with their
Fujitsu Scanners & AnyDoc® EOB (Explanation Of Benefits) For Healthcare Verti...Kevin Neal
This document provides an overview of a webinar presented by Fujitsu and AnyDoc Software about using document scanners and optical character recognition (OCR) software to automate the processing of Explanation of Benefits (EOB) forms for healthcare insurance. The webinar discusses the challenges of manual EOB processing, how Fujitsu scanners and AnyDoc software can extract and index data from EOB forms to overcome these challenges, and reduce costs and improve efficiency, compliance, and access to information for various stakeholders. It also provides contact information for Fujitsu and AnyDoc.
The document provides information about Healthsol, a company that provides healthcare information management systems and related services. It discusses Healthsol's clients, which include hospitals ranging from 60-100 beds. It also summarizes Healthsol's healthcare information management software, hardware and networking capabilities, and consultancy services regarding standards. The software allows for registration management, patient management, financial management, and other functions. Healthsol aims to improve existing systems and provide better patient-friendly results.
Case Study "Big Data, Little Data: Value and Transformation stemming from KP's HIT"
Learning Objectives:
∙ Learn about KP's investment in the EHR and its transformative value
∙ Learn how data and access to information has impacted clinical operations, the patient experience and how we approach research
∙ Learn how this data is more patient centric and patient empowering
"I-SPRINT-electronic health care data exchange platform" for hassle free and seamless real-time health care data exchange b/n payers and providers for faster cashless hospitalizations.
currently used by around 700 hospitals and 10 payers across india.
This document provides an overview of Lifeline, a comprehensive hospital management software solution created by Manorama Infosystem. Lifeline integrates various hospital workflows and departments into one system to streamline operations and information flow. It has various modules that can be customized for the needs of a multi-specialty hospital, including reception management, outpatient management, electronic medical records, indoor patient management, and more. Lifeline aims to help hospitals achieve efficient management, enhance patient care, improve work efficiency, and enable growth.
1) eMedicalFiles announces the launch of a consultative e-newsletter to provide information to hospitals, health centers, doctors, and practice managers on electronic health records.
2) The newsletter will provide details on certification and technology that can enhance operations and provide financial benefits.
3) On average, the capital cost to implement an EHR system is between $25,001-$50,000 per full-time doctor, with operating costs of $251-$500 per doctor per month.
Lifeline is a comprehensive hospital management software designed to streamline operations, integrate workflows, and provide real-time access to patient data across departments. It aims to improve efficiency, enhance patient care, and provide better fiscal control through features like centralized data storage, modular design, customizable configurations, and integrated billing and accounting. The system's client-server architecture allows for simultaneous access to information from multiple terminals.
"Leader in Enterprise Solution & Business Consulting. Providing framework for managing large application development & management services with economies of scope and scale."
The document discusses implementing an online appointment request system for a neurological institute to better manage patient referrals and track revenue from web visits. Key points:
- The institute worked with OSF HealthCare and a vendor to create an online form for patients and providers to request appointments that addresses privacy concerns and allows tracking referrals.
- The new system provides a better experience for patients searching online for providers and services. It also enables tracking how web visits convert to revenue.
- Managing privacy, security, and HIPAA compliance were important considerations that required approval from compliance and security teams. The vendor committed to a business associate agreement.
- The system routes requests to the call center for triaging and appointment scheduling
Futures health informatics briefing intel aug 2011bobjay
- Futures Group is an independent, privately owned global health organization founded in 1971 and headquartered in Washington, DC. It has 467 staff working in over 30 countries.
- It has developed a suite of open-source health IT solutions called IQSolutions, including an electronic medical record called IQCare, to support health programs in developing countries lacking reliable technology infrastructure.
- The health informatics team consists of 25 local programmers across offices in Kenya, South Africa, and India who design and develop the tools using freely available, reusable components that can function offline or with intermittent connectivity.
Everyone is accountable and expected to protect health information. The circle is large and encompasses many different organizations. Patient data is protected for a reason. Let’s look at some brief reminders:
Liberating medical device data for clinical researchJohn Zaleski
This document proposes an architecture to liberate medical device data from silos and integrate data from multiple devices for clinical research. The architecture includes a Data Collection Appliance (DCA) to collect data from up to 8 devices at the bedside. A Data Aggregation Gateway (DAG) receives data from DCAs, harmonizes data semantically and temporally, and outputs the data in common formats like CSV or HL7. A Management Server coordinates communication and maintains device drivers and terminology standards to facilitate integration and analysis of medical device data across different devices and patients.
The document provides an overview of key concepts in systems analysis for healthcare information systems. It discusses strategic planning, problem analysis, needs assessment, requirements analysis, analysis of alternatives, and cost-benefit analysis as important phases. Methods for fact-finding like interviews, documentation review, observation, and surveys are described. The roles of current and future state analysis in modeling processes and identifying requirements are also covered. Key project management stages for the systems analysis phase are initiating, planning, executing, monitoring, and closing.
Overview of Healthcare IT Security including research based statistics and leveraging best practices to ensure sustainability and compliance for providers
eHealth Governance in a Local Organisation. The Experience from Pompidou Hospital. Degoulet P. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)
The document discusses the infrastructure behind eHealth and interoperability in the healthcare system. It covers various technical components of infrastructure including hardware, networks, applications, standards, and security/authentication. It also addresses issues around people and process change that are important for effective technology implementation in the healthcare domain.
[1] KP HealthConnect is an integrated electronic medical record and business system that aims to improve quality, service, and affordability. [2] It includes elements such as a patient portal, secure messaging, and connectivity between clinics, hospitals, and other providers. [3] Early results show increases in online access for members, reductions in office visits and calls, and high member satisfaction with virtual care options such as telephone visits.
Big data is growing exponentially and changing the world. The digital universe will grow over 40 times in size this decade, with 90% of the data being unstructured. New technologies are enabling companies to harness big data to improve healthcare outcomes, increase retail profits, and make more informed decisions. However, traditional systems are ill-equipped to manage and analyze big data at this massive scale.
Here are some of the types of training/development offered:
- Orientation for new hires
- Mandatory annual training (e.g. compliance, safety)
- Leadership development programs
- Technical/clinical skills training
- Soft skills training (e.g. communication, time management)
- Tuition reimbursement for continuing education
- Online/classroom courses
- Conferences/seminars
- Coaching/mentoring
- Project management training
- Career development planning
Q2: How do employees sign up for training?
A2: Employees can sign up for training through the online Learning Management
System (LMS). Managers should discuss training needs and interests with their
Fujitsu Scanners & AnyDoc® EOB (Explanation Of Benefits) For Healthcare Verti...Kevin Neal
This document provides an overview of a webinar presented by Fujitsu and AnyDoc Software about using document scanners and optical character recognition (OCR) software to automate the processing of Explanation of Benefits (EOB) forms for healthcare insurance. The webinar discusses the challenges of manual EOB processing, how Fujitsu scanners and AnyDoc software can extract and index data from EOB forms to overcome these challenges, and reduce costs and improve efficiency, compliance, and access to information for various stakeholders. It also provides contact information for Fujitsu and AnyDoc.
The document provides information about Healthsol, a company that provides healthcare information management systems and related services. It discusses Healthsol's clients, which include hospitals ranging from 60-100 beds. It also summarizes Healthsol's healthcare information management software, hardware and networking capabilities, and consultancy services regarding standards. The software allows for registration management, patient management, financial management, and other functions. Healthsol aims to improve existing systems and provide better patient-friendly results.
Case Study "Big Data, Little Data: Value and Transformation stemming from KP's HIT"
Learning Objectives:
∙ Learn about KP's investment in the EHR and its transformative value
∙ Learn how data and access to information has impacted clinical operations, the patient experience and how we approach research
∙ Learn how this data is more patient centric and patient empowering
"I-SPRINT-electronic health care data exchange platform" for hassle free and seamless real-time health care data exchange b/n payers and providers for faster cashless hospitalizations.
currently used by around 700 hospitals and 10 payers across india.
This document provides an overview of Lifeline, a comprehensive hospital management software solution created by Manorama Infosystem. Lifeline integrates various hospital workflows and departments into one system to streamline operations and information flow. It has various modules that can be customized for the needs of a multi-specialty hospital, including reception management, outpatient management, electronic medical records, indoor patient management, and more. Lifeline aims to help hospitals achieve efficient management, enhance patient care, improve work efficiency, and enable growth.
1) eMedicalFiles announces the launch of a consultative e-newsletter to provide information to hospitals, health centers, doctors, and practice managers on electronic health records.
2) The newsletter will provide details on certification and technology that can enhance operations and provide financial benefits.
3) On average, the capital cost to implement an EHR system is between $25,001-$50,000 per full-time doctor, with operating costs of $251-$500 per doctor per month.
Lifeline is a comprehensive hospital management software designed to streamline operations, integrate workflows, and provide real-time access to patient data across departments. It aims to improve efficiency, enhance patient care, and provide better fiscal control through features like centralized data storage, modular design, customizable configurations, and integrated billing and accounting. The system's client-server architecture allows for simultaneous access to information from multiple terminals.
"Leader in Enterprise Solution & Business Consulting. Providing framework for managing large application development & management services with economies of scope and scale."
The document discusses implementing an online appointment request system for a neurological institute to better manage patient referrals and track revenue from web visits. Key points:
- The institute worked with OSF HealthCare and a vendor to create an online form for patients and providers to request appointments that addresses privacy concerns and allows tracking referrals.
- The new system provides a better experience for patients searching online for providers and services. It also enables tracking how web visits convert to revenue.
- Managing privacy, security, and HIPAA compliance were important considerations that required approval from compliance and security teams. The vendor committed to a business associate agreement.
- The system routes requests to the call center for triaging and appointment scheduling
Futures health informatics briefing intel aug 2011bobjay
- Futures Group is an independent, privately owned global health organization founded in 1971 and headquartered in Washington, DC. It has 467 staff working in over 30 countries.
- It has developed a suite of open-source health IT solutions called IQSolutions, including an electronic medical record called IQCare, to support health programs in developing countries lacking reliable technology infrastructure.
- The health informatics team consists of 25 local programmers across offices in Kenya, South Africa, and India who design and develop the tools using freely available, reusable components that can function offline or with intermittent connectivity.
Everyone is accountable and expected to protect health information. The circle is large and encompasses many different organizations. Patient data is protected for a reason. Let’s look at some brief reminders:
Liberating medical device data for clinical researchJohn Zaleski
This document proposes an architecture to liberate medical device data from silos and integrate data from multiple devices for clinical research. The architecture includes a Data Collection Appliance (DCA) to collect data from up to 8 devices at the bedside. A Data Aggregation Gateway (DAG) receives data from DCAs, harmonizes data semantically and temporally, and outputs the data in common formats like CSV or HL7. A Management Server coordinates communication and maintains device drivers and terminology standards to facilitate integration and analysis of medical device data across different devices and patients.
The document provides an overview of key concepts in systems analysis for healthcare information systems. It discusses strategic planning, problem analysis, needs assessment, requirements analysis, analysis of alternatives, and cost-benefit analysis as important phases. Methods for fact-finding like interviews, documentation review, observation, and surveys are described. The roles of current and future state analysis in modeling processes and identifying requirements are also covered. Key project management stages for the systems analysis phase are initiating, planning, executing, monitoring, and closing.
Overview of Healthcare IT Security including research based statistics and leveraging best practices to ensure sustainability and compliance for providers
eHealth Governance in a Local Organisation. The Experience from Pompidou Hospital. Degoulet P. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)
The document discusses the infrastructure behind eHealth and interoperability in the healthcare system. It covers various technical components of infrastructure including hardware, networks, applications, standards, and security/authentication. It also addresses issues around people and process change that are important for effective technology implementation in the healthcare domain.
[1] KP HealthConnect is an integrated electronic medical record and business system that aims to improve quality, service, and affordability. [2] It includes elements such as a patient portal, secure messaging, and connectivity between clinics, hospitals, and other providers. [3] Early results show increases in online access for members, reductions in office visits and calls, and high member satisfaction with virtual care options such as telephone visits.
Mark Anderson is the CEO of AC Group, a national healthcare IT consulting firm. He has over 36 years of experience in healthcare IT, including serving as CIO for multiple regional healthcare systems. He regularly speaks on electronic health records (EHRs) and healthcare IT. The document discusses EHR trends, challenges with adoption and use, and the need for a strategic, enterprise-wide approach to business intelligence to improve outcomes and efficiencies across the healthcare organization. It also addresses issues around data integration, clinician buy-in, and the importance of an accountable culture for dashboard and scorecard applications.
Self Organizing Genomes with Real Time Consent - DNA GuideDNA Compass
Advocates for self organizing genomes with real time consent . Pattern in evolution of digital humanity is aspect of life gets digitized and once it's affordable a platform emerges that allows people to:
1. Upload their data
2. Control who they share it with.
Describes a personal biological domain model that allows for industry integration based on individual ownership of raw genetic data.
This document discusses trends in healthcare and health technology. It notes challenges like rising healthcare costs, aging populations, and physician shortages that are driving new models of care focused on health and wellness. It describes a continuum of care from home care to residential care to acute care, with the goal of high quality of life at lowest cost. It discusses how social networks and health 2.0 platforms can create value by connecting more users. Finally, it outlines how technologies like electronic medical records, clinical decision support systems, personal health records, and health information exchanges can help enable coordinated care across settings to improve outcomes and lower costs.
This document provides an overview of various health IT applications and functions across different care settings including acute, ambulatory, clinical, departmental, ancillary, mobile health, revenue cycle, population health, and standards/interfaces. It describes applications such as electronic health records, computerized physician order entry, clinical documentation, revenue cycle management, population health analytics, and standards for interoperability. The applications and functions are grouped by care settings and departments to provide context on how health IT systems support different areas of care delivery and administration.
The document discusses standards and coding systems used in biomedical and health informatics. It provides background on the speaker and their qualifications in the fields of medicine and health informatics. It then discusses why healthcare information standards are needed, providing examples of different types of standards including unique identifiers, standard data sets, vocabularies and terminologies, and exchange standards for messages and documents.
Healthcare institutions are aggressively moving towards meeting compliance with MU1 and MU2 with the implementation of full-featured Electronic Health Records. Concomitantly, there will be a massive increase in the amount of clinical data captured electronically. Business intelligence (BI) which traditionally has focused on financial data can be leveraged to use clinical data to support providers in delivering high quality, efficient care. In addition, BI coupled with population health analytics can help meet many Accountable Care Organization needs. This presentation will discuss the Denver Health journey in using BI in a variety of was to facilitate the attainment of high quality care.
2014 Standards and Certification Criteria 2014 EditionBrian Ahier
The proposed rule discusses changes to the 2014 Edition of certification criteria for electronic health records (EHRs). It proposes redefining certified EHR technology (CEHRT) as consisting of a base EHR plus additional certification criteria associated with meaningful use core and menu objectives. The base EHR would include criteria like patient demographics and clinical information, clinical decision support, and exchanging health information. Providers would need to meet the base EHR definition plus certification criteria for meaningful use core objectives unless an exclusion applies.
A clinical information system (CIS) is a technology-based system used at the point of care to support the acquisition, processing, storage, and sharing of patient information across locations. Key components of a CIS include the type of application, number of users, where data is stored, and backup procedures. Implementation requires input from medical staff, IT, and management to ensure accuracy, privacy, and system reliability. Larger healthcare facilities can expect to pay $10 million to $1 billion to establish a CIS, with annual maintenance fees of $1 million or more.
This document discusses the concept of participatory health and the role of mobile technologies, known as mHealth. It argues that mHealth will transform healthcare by enabling active participation of patients, providers, and other stakeholders through technologies like mobile phones. This will allow things like continuous communication between visits, accessing health information and decision support at the point of care, remote monitoring for disease management, and financial applications like real-time billing. However, challenges like interoperability and standards must be addressed. The document advocates for providers to prepare for this change by developing mHealth strategies and balancing new technologies with workflow impacts. Overall, mHealth is presented as a way to improve outcomes while reducing costs through more participatory and connected care.
An electronic health record (EHR) is a digital version of a patient's medical history that is maintained over time by doctors and institutions providing care. An EHR contains demographics, notes, problems, medications, vital signs, medical history, immunizations, lab and radiology reports. Patients, doctors, nurses and other healthcare providers involved in a patient's care have access to the information in an EHR. To access a patient's record, providers log in with a username and password or thumbprint identification. EHRs provide benefits like reducing costs, errors and improving quality of care compared to paper record systems.
HIMSS National Data Warehousing WebinarDale Sanders
BMJ and other sources
• Integrated into Cerner EMR
• Action sets, order sets, reference
• Chronic condition management
• Population health monitoring
• Local quality improvement
• Data analytics and reporting
• Continuous improvement
• Outcomes and process measures
• Cost and utilization measures
• Staff education and training
• Governance and oversight
• Continuous refinement
• Continuous expansion of content
• Continuous expansion of use
• Continuous expansion of benefits
• Continuous expansion of users
• Continuous expansion of evidence
• Continuous expansion of data
• Continuous expansion of analytics
• Continuous expansion of improvement
• Continuous
1. The document discusses Nick van Terheyden's speech about realizing the full potential of diagnostic reports through using structured clinical documents.
2. It describes the Health Story Project, a non-profit alliance that develops standards for integrating narrative clinical documents into electronic medical record (EMR) systems.
3. The speech argues that using structured clinical documents based on HL7 standards can improve care by enabling data sharing and reuse while preserving physician workflow.
The document provides an overview of Hyundai Information Technology's Hospital Information System (Hi-Medi). Key points:
1. Hi-Medi is an integrated hospital management software solution that includes electronic medical records, order communication systems, picture archiving systems, and other modules.
2. It has been implemented in many major hospitals throughout Korea, with installation sizes ranging from 700 to 2,200 beds.
3. Hyundai Information Technology has over 20 years of experience in medical IT and takes a fully digitalized, platform-independent approach to hospital system integration.
This document provides definitions and explanations of common buzzwords and acronyms used in the healthcare IT industry. Some key terms include EMR/EHR for electronic medical records/health records, PHI for protected health information governed by HIPAA privacy rules, ICD-10 for the medical coding system replacing ICD-9, cloud computing, quality reporting metrics, data breaches of protected health information, precision medicine tailored to a patient's genome, EHR meaningful use incentives, pay for performance replacing fee-for-service, accountable care organizations, and healthcare reform through the Affordable Care Act.
Similar to M12S18 - Records and Information Management: What Healthcare Should be Learning From Other Information Intensive Industries (20)
M12S23 - Right-sizing Your Information Footprint by Chucking Your Dead DataMER Conference
Speakers: Randolph A. Kahn, Esq. & Jonathan Redgrave, Esq.
Today, most organizations have too much digital content that has outlived its usefulness. Every year, the quantity of this unusable content multiplies. So, there's no time like the present to get busy, get cleaner and get meaner.
Having a defensible methodology and using the right tool for the task allows organizations to right-size their "Information Footprint" without worrying about regulatory or legal consequences.
If your organization right-sizes its' "Information Footprint", it would be much better off. Keeping old, unnecessary content will result in higher costs and risks. If the costs and risks are big enough, the case for proactively cleaning up the "Information Footprint" is very compelling.
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M12S21 - "Corporate Alzheimer's": The Impending Crisis in Accessing Digital R...MER Conference
Speakers: Christine Ardern, Adrian Cunningham, Charles Dollar, Ph.D., Mariella Guercio, Ph.D., Kenneth Thibodeau, Ph.D.
Is your organization facing "Corporate Alzheimer's"?
Fast forward to 2020:
- Your organization's CDs are obsolete,
- Its social media has been replaced,
- The Cloud has evaporated, and
- The organization has restructured several times and the terminology it used in 2012 has changed.
The organization's information assets, however, are safe in tiered storage. Because the software and hardware has changed from what was used to create them, access to needed records and data now is limited and, in some instances, impossible.
This is Corporate Alzheimer's - the increasing inability over time to access an organization's long-term digital information - when we know it is there, but changes in computer hardware and software have made the needed information inaccessible/unreadable.
Read more: http://www.rimeducation.com/videos/rimondemand.php
M12S19 - S19 - CASE STUDY: e-RIM Success with Structured Data SystemsMER Conference
Speakers: Laurie Fischer, Kevin S. Joerling, & Michael S. McKenna
Today, the majority of an organization's business processes and functions are facilitated or supported by the use of electronic systems. In turn, many of these systems create, manage, and/or store electronic data that is "structured".
"Structured data" typically is created and stored according to a pre-defined data model and fits into relational tables, or can be stored in rows and columns.
Information stored in structured data systems often serves as the official evidence of the business process that the system facilitates. As such, this information needs to meet the retention and disposition requirements defined in the organization's retention schedule. The additional requirements for authentic, reliable and unchangeable records are especially challenging since most structured data systems were designed to store and process dynamic and non-redundant data.
Information Technology departments historically have taken the position that since "storage is cheap" the application of an organization's records retention schedule to structured data was not an efficient use of scarce IT resources.
Today, the volume of information and its legal discoverability present a compelling argument for change.
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Richard (Dick) Fisher
Organizations are creating data records at a pace few could have imagined just five years ago - terabytes (1 trillion bytes) now and heading toward petabytes (1,000 terabytes) that may need to be archived or disposed of! This session uses the requirement for archiving and disposition of PeopleSoft records and data elements as one example, plus other real world requirements.
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M12S15 - CASE STUDY: Spoliation - The Actual Case As It Was To Be Argued in ...MER Conference
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A key executive with access to his company's confidential and trade secret information downloads information from his company-owned laptop to flash drives, and then, the evening before resigning, uses a commercially available "wipe" to erase his laptop. He claims he didn't want his employer to see porn, personal messages and comments critical of his boss, and didn't realize he erased virtually everything. After leaving the company, and after suit had been filed, he throws away the flash drives, now claiming he did this so it would be clear he wouldn't have any information in his possession.
M12S13 - RIM for the Next Generation: A Call to ActionMER Conference
Speakers: Charles R. Booz, Julia Brickell, and Mike Salvarezza
The RIM paradigms of the past are fast becoming obsolete and unworkable. New perspectives and new approaches are required.
This session is a "Call to Action" - for a complete transformation of the practice of RIM - from regulations and laws to practices and policies.
The session begins by identifying four major changes are redefining how business is conducted:
The emergence of a new generation of workers,
The proliferation of mobile technology,
The explosion of Social Media, and
The rapid advance of new and innovative technological capabilities.
Collectively, these four changes are rapidly and radically changing the world we live and work in. RIM leaders can and should be leading the charge to:
Change the way things are done,
Adjust legal, regulatory, and business expectations to better address new and different technologies, and
Incorporate cultural changes in the way business is conducted.
One approach is to build a prospective Information Governance model that is highly adaptable to changing circumstances and technologies - in order to avoid being trapped by the next paradigmatic fault underlying our basic RIM assumptions.
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Speakers: Sara Meaney Jesse Wilkins
Many organizations have moved, from experimenting with social media tools, to incorporating them into business processes. As a result, both commercial services and enterprise social content tools are significantly changing the ways organizations do business and interact with their constituents. As the amount of content generated by these tools increases, so does the need to manage them successfully.
Learn more: http://www.rimeducation.com/videos/rimondemand.php
M12S01 - The Information Tsunami: Where We Are and How to Move ForwardMER Conference
The document summarizes a presentation on the current state of electronic records and information management (eRIM) programs. It notes that many eRIM implementations are failing because records managers missed an opportunity to lead, and that senior management buy-in and business operations involvement are key to success. The presentation outlines the various stakeholders involved in eRIM and their sometimes conflicting interests. It recommends clarifying accountability for information management and addressing the effects of social media. Motivating senior leaders requires emphasizing value and risk, while business users must take responsibility for records and embrace necessary changes.
M12S09 - ERM Case Law: The Latest News, Trends, and IssuesMER Conference
1) The document discusses recent cases related to electronic records management (ERM) procedures and preservation of electronically stored information (ESI).
2) It provides examples of cases where proper ERM procedures were valuable, as well as some cases where failures to follow procedures resulted in sanctions.
3) The document also summarizes discussions on potential amendments to rules around preservation duties and spoliation sanctions.
M12S08 - Transforming RIM to 'Responsible Information Management'MER Conference
From the MER Conference 2012
Speaker: Karen Strong
For many years "RIM" has been the name of the function within organizations responsible for Records & Information Management. RIM represents the discipline of managing an organization's records and information according to standards, guidelines, laws, and regulations with a focus on compliance.
It is time, however, to re-think some of the traditional assumptions about Records & Information Management. This session details the transformational value in a change to "Responsible Information Management (RIM)".
Responsible Information Management re-sets the vision and direction of RIM and can put your organization on a path to adopt and sustain "best practice" information management behaviors.
Responsible Information Management takes into consideration the roles and responsibilities of every user who creates and receives information in their daily work activities with clear expectations regarding individual and organizational accountability.
In this session, learn:
The necessary changes in behavior at the individual and organizational level to achieve Responsible Information Management, and
The steps you can take to achieve the required business results of Responsible Information Management by leveraging best practices in organizational transformation and change management.
M12S06 - Will Technology-Assisted Predictive Modeling and Auto-Classification...MER Conference
From the MER Conference 2012
Seakers: Jason R. Baron, Esq. Dave Lewis, Ph.D.
2012 is the year we will see great strides by information professionals in using automation (in the form of "predictive" and "technology-assisted" search, filtering, and auto-classification) for the purpose of achieving efficiencies and cutting costs in records management as well as in legal settings.
The strategic use of these new methods is absolutely necessary given the massive, exponential increases in electronically stored information - in the form of records within corporate networks and repositories.
This session addresses the latest technological developments from the two perspectives:
- A longtime advocate of smart technology in the public recordkeeping sector, and
- A leading information scientist.
The session includes a state of the art overview of the latest developments in technology-assisted review, with an emphasis on how these technologies can and will enhance electronic records management by helping to end the era of excessive reliance on end user RM.
You will learn:
- What technology-assisted review and predictive analytics are all about using advanced search, filtering, and auto-classification as part of a defensible electronic records management program.
- How these technologies also add value to overall corporate information governance.
M12S05 - CASE STUDY: Leveraging Content Analytics to Kick-Start your Informat...MER Conference
This document summarizes a presentation about using content analytics to kickstart an information governance initiative. It discusses challenges organizations face with growing data volumes and regulatory obligations. It then describes how content assessment, using analytics, classification, and collection, can help organizations understand their information landscape, prioritize efforts, and enable defensible disposition of data. The presentation includes an example case study of how one large financial organization used these techniques.
From the MER Conference 2012
Speaker: Bruce Miller
The first Electronic Recordkeeping software emerged in 1991.
The US DoD 5015.2 standard has been in place since 1997, and is now undergoing its third major revision.
Some 60+ product certifications against the standard have been granted to date.
Today approximately 20 different products remain certified. These products continue to be sold around the world.
Yet successful deployment is nowhere near expectations.
Hear Bruce's unique perspective as he reviews the successes and frustrations of the very technology he invented and has evangelized for two decades.
In this session, learn:
- Why we have failed to realize the promise of ERM software,
- What went wrong,
- What have we achieved,
- Where have we failed to meet expectations,
- Why do we still seem unable to make it work, and
- Where we are now.
Bruce will make the case that in order to achieve the adoption rates we expect, change will have to come from all four stakeholder groups:
- RIM practitioners,
- Software vendors,
- IT managers, and
- Business leadership.
Hear Bruce's compelling vision for a way-forward roadmap for a more successful electronic recordkeeping future.
M12S07 - Retention & ESI - Paths to Success - Part TwoMER Conference
From MER Conference 2012
Speakers: Christine Burns and Carol Stainbrook
This session explains "why" your organization's technology selections impact "how" the updated retention schedules described in part one of this two-part session can be applied to electronically stored information (ESI). Learn reasonable and actionable approaches for embedding retention policies into e-mail, file shares and enterprise applications.
This session will address:
- Why "perfection" is often impractical, when it comes to applying retention policy to ESI and some reasonable alternatives to perfection.
- How the technologies for email, file shares, and other ESI affect the implementation of retention policies.
- When it may be necessary to choose different retention strategies for different technologies such e-mail, file shares and enterprise applications.
- Considerations for applying retention policy to data in enterprise applications.
- Criteria to help prioritize where to begin when applying retention policy.
In this session you will learn how to tailor your organization's approach to retention schedules so they are reasonable, actionable and result in the orderly destruction of eligible information, given your organization's technology selections.
M12S07 - Retention & ESI - Paths to Success - Part Two
M12S18 - Records and Information Management: What Healthcare Should be Learning From Other Information Intensive Industries
1. Cohasset Associates, Inc.
NOTES
Records and Information Management:
What Healthcare Should Be Learning
from Other Information-Intensive Industries
May 8, 2012 1:30 – 2:45 pm
Ron Hedges Ronald J. Hedges, LLC
Linda Kloss Kloss Strategic Advisors, Ltd.
Deborah Kohn Dak Systems Consulting
AGENDA
1. Current state of healthcare information
technology adoption
2. Unintended consequences and current
lessons learned
3. Current i iti ti
3 C t initiatives to improve information
t i i f ti
governance, records and information
management
4. What healthcare can learn from other
information-intensive industries
5. Key digital information challenges
anticipated in the next decade
1. Current state of healthcare
information technology
adoption
2012 Managing Electronic Records Conference 18.1
3. Cohasset Associates, Inc.
NOTES
ARRA/HITECH - February 2009
The American Recovery and Reinvestment Act
(ARRA)
a.k.a.,
a k a the Economic Stimulus Bill PL 111-5
Bill,
with its
Health Information Technology for Economic
and Clinical Health (HITECH) Act
ARRA/HITECH - February 2009
revitalize the economy over the next 10
years (until ~ 2018 - 2020)
generate government savings
g g g
guarantee EHRs for all Americans by 2014
continue to protect the privacy of the
individual and the security of the
individual’s health information
continue to improve the safety of the
patient and the quality of the patient’s care
ARRA/HITECH - February 2009
Key Components
Medicare / Medicaid HIPAA
Incentive Comparative
Confidentiality/
Payments Effectiveness
Privacy
Research
and
ADOPTION & (
(CER))
Security Standards
S it St d d
MEANINGFUL USE
Quality
of
Outcomes /
CERTIFIED EHRs
Reporting
Providers / Hospitals
Work Force Regional Health Broadband
Expansion Extension Information Telemedicine
Centers Exchange Public Health
Intra- / Inter-
Organizational
2012 Managing Electronic Records Conference 18.3
4. Cohasset Associates, Inc.
NOTES
Medicare / Medicaid
Incentive
Payments
ADOPTION &
MEANINGFUL USE
of
CERTIFIED EHRs
Providers / Hospitals
ADOPTION
and
MEANINGFUL USE
of
CERTIFIED
Electronic Health Records
Medicare / Medicaid
Incentive
Payments
ADOPTION &
MEANINGFUL USE
of
CERTIFIED EHRs
Providers / Hospitals
As of April 2012:
Current state of achieving interoperability
What is interoperability?
sharing data between different software,
residing on different hardware, from
different software and hardware vendors
allowing the seamless passing of vital
health information from application to
application, system to system, and setting
to setting within and across the healthcare
enterprise
2012 Managing Electronic Records Conference 18.4
5. Cohasset Associates, Inc.
NOTES
Current state of achieving interoperability
between patient clinical record systems in
acute care provider organizations =
Still a long way to go!
Proprietary vs. Open source
National Patient Identifier
Standards
2. Unintended consequences of
electronic health records and
current l
t lessons learned
l d
Unintended Consequences
Outcomes of actions that are not
originally intended in a particular
situation
it ti
May be positive or negative
May be sudden and obvious
Go undetected until the process has
played out some
2012 Managing Electronic Records Conference 18.5
6. Cohasset Associates, Inc.
NOTES
Describing Consequences
Human & Organizational Fiscal
Cognitive Policies &
Technology
Regulations
Health Information and
Communications
Technology
Types of Stakeholder
consequences (who is
affected)
Current Research
More/New work issues
Workflow issues
System demands
Communication
Emotions
New kinds of errors
Power shifts
Dependence on the system
Campbell, E. M., Sittig, D. F., Ash, J. S., Guappone, K. P., & Dykstra, R. H. (2006).
Types of unintended consequences related to computerized provider order entry.
J.Am.Med.Inform.Assoc., 13, 547-556
What Healthcare is Learning
Reporting and sharing EHR-related hazards
and adverse events
Enhanced EHR certification program -
high-reliability software development practices
Competency development
A culture of safety
Standards to support interoperability
Information governance and enhanced RIM
2012 Managing Electronic Records Conference 18.6
7. Cohasset Associates, Inc.
NOTES
3. Current initiatives to improve
information governance,
records and information
management through
improved regulations,
policies, and standards
The Case for Information Governance
Data breaches: 7.8 Million individuals affected in
first 15 months of new breech reporting
1 in 10 computer-generated More than 500,000 Americans
prescriptions included at were victims of medical identity
least one error theft in 2009
Error rates for provider-
FY 2010 was 10.5 percent, or
maintained master person
$34.3 billion in estimated
indices (MPIs) are between
improper claims payments
7 and 10 percent
Building Blocks for
Enterprise Health Information Management
Information Governance
I
Information Content & Information
Design & Records Analysis &
Capture Management Use
Information Integrity & Quality
Access, Security & Confidentiality
2012 Managing Electronic Records Conference 18.7
8. Cohasset Associates, Inc.
NOTES
Information Governance Drivers
Information as an organizational asset
Third party accreditation
Reimbursement policy
Standards
Consumer demand for information
transparency
Legal and regulatory
The Legal and Regulatory Environment
HITECH (Health Information Technology for
Economic and Clinical Health, 2009)
HIPAA (Health Insurance Portability and
Accountability Act, 1996)
Affordable Care Act (2010)
Other regulatory options (FDA, Commerce)
Case law
State statute and regulation
4. What healthcare can learn
from other information-
intensive industries
2012 Managing Electronic Records Conference 18.8
9. Cohasset Associates, Inc.
NOTES
A. Enterprise Content Management Systems
consist of a cluster of technologies that manage the
enterprise’s unstructured intellectual substance
(a.k.a. CONTENT) of its documents and records,
such as symbol, image, video, and audio data
y , g , ,
eMail Management technologies
classify, store, and destroy eMail messages consistent with
organization standards, just like any other organization
document or record
Web Content Management technologies
address web-based content creation, review, approval, and
publishing processes
B. Electronic Records Management Systems
consist of a cluster of technologies that electronically
identify records, retain records in a secured
repository, provide controlled access to records, and
destroy records in accordance with pre-determined
pre-determined,
organization and regulation retention schedules
Record Preservation Format/Legal Hold
Record Retention Calculation
Record Disposition Control
Record Deletion & Destruction Management
C. Information Governance
Research and case studies about how
information governance is operationalized and
what best practices are emerging
Benefits Stories
Organizational Competencies
Tie to IT Governance and Data Governance
Engaging the C-suite and Boards
2012 Managing Electronic Records Conference 18.9
10. Cohasset Associates, Inc.
NOTES
5. Key digital health information
challenges anticipated in the
next decade
1. Ongoing privacy and security challenges (Breaches)
2. Social media technology evolution
3. Smaller form factors (mHealth)
4. Achieving interoperability
5. Data
5 D t content standards and standardization
t t t d d d t d di ti
6. Health data analytics and business intelligence
7. Consumer engagement and health literacy
8. Health system and health care delivery reform
9. Evolution of technology
10. e-Discovery
Questions and Discussion
Deborah Kohn
@ y
dkohn@daksystcons.com
Linda Kloss
linda@kloss-strategicadvisors.com
Ron Hedges
r_hedges@live.com
2012 Managing Electronic Records Conference 18.10