Connected care and social media are changing how patients interact with healthcare providers. This allows easier access to care and information for patients. It also helps providers improve quality, reduce costs, and increase efficiency through tools like remote monitoring, virtual visits, and care collaboration between patients and providers. However, organizations must ensure proper security and privacy of patient data as interactions move online and information is shared more widely.

1. Connected Care & the e-Patient: How to Protect Patient Data in an Increasingly Social Healthcare Industry

2. About Perficient Perficient is a leading information technology consulting firm serving clients throughout North America. We help clients implement business-driven technology solutions that integrate business processes, improve worker productivity, increase customer loyalty and create a more agile enterprise to better respond to new business opportunities.

3. PRFT Profile Founded in 1997 Public, NASDAQ: PRFT 2010 Revenue of $215 million 20 major market locations throughout North America Atlanta, Austin, Charlotte, Chicago, Cincinnati, Cleveland, Columbus, Dallas, Denver, Detroit, Fairfax, Houston, Indianapolis, Minneapolis, New Orleans, Philadelphia, San Francisco, San Jose, St. Louis and Toronto 1,500+ colleagues Dedicated solution practices 500+ enterprise clients (2010) and 85% repeat business rate Alliance partnerships with major technology vendors Multiple vendor/industry technology and growth awards

4. Our Solutions Expertise & Services Business-Driven Solutions Enterprise Portals SOA and Business Process Management Business Intelligence User-Centered Custom Applications CRM Solutions Enterprise Performance Management Customer Self-Service eCommerce & Product Information Management Enterprise Content Management Industry-Specific Solutions Mobile Technology Security Assessments Perficient brings deep solutions expertise and offers a complete set of flexible services to help clients implement business-driven IT solutions Perficient Services End-to-End Solution Delivery IT Strategic Consulting IT Architecture Planning Business Process & Workflow Consulting Usability and UI Consulting Custom Application Development Offshore Development Package Selection, Implementation and Integration Architecture & Application Migrations Education

5. Our Speakers Steve Nitenson , RN, BSN, MS(CIS), MBA, PhD, is a Sr. Solutions Architect with Perficient. Steve has 25 years of experience and expert knowledge in the area of current and emerging EMR/EHR technologies, including HIPAA 5010 and ICD-10. Michael Porter is Principal for Portal, Social, and Collaboration solutions at Perficient. Michael has 13 years of experience with portal and content management projects helping clients understand and take advantage of the value provided by web technologies. Anand Sangtani is a Solution Architect with the Oracle Technology National Practice at Perficient. Anand has 15 years of experience in the delivery of complex portal and web application solutions in diverse industries including healthcare.

6. Rapidly shifting role of the patient within the traditional Ambulatory and In-Patient delivery of care model There is increased patient demand for: Easier access by patients to healthcare professionals Easier access to Online Healthcare information by the patient Online access by patients to “Alternative” care modalities Online “chat” communication with healthcare professionals Contain costs and improve the quality of patient care experience Bridging the “information gap” between the healthcare provider and patient Introduction Innovations in social media, collaborative technologies, tele-medicine, tele-monitoring, and mobile technologies provide healthcare, professionals/organizations and patients with the ability to reach out to each other seeking cost effective healthcare services.

7. Employment based coverage is on the decline Government issued healthcare coverage is increasing Numbers of uninsured and self-insured are on the rise Bottom Line: Provider based delivery of care is embracing the concept of bidirectional healthcare communications and real time consumerism. Current State

8. e -Patients are: E quipped with iPhone, iPad, Internet, WiFi, laptop, etc. E nabled with instant access to information 24x7x365 E mpowered to be actively involved in care régimes E ngaged, with all the above, to effect change 33% of US population uses social media to collect health related information. 58% of individuals surveyed “self diagnose” based on the information they have collected. As a result, healthcare social media is becoming one of the most important topics with both the ambulatory and in-patient healthcare sectors of our day. The e-Patient & Social Media

9. Social Media vs Social Networking Social Media: Uses the same foundations as social networks Strives for a one to many approach to communication Tries to add an interactive dialog to the communication Think: hospital tweeting about national recognition Think: Surgery center blogging about a new system or service that differentiate them from the competition Interactivity comes from re-tweeting, commenting, providing a linkback, etc. Be aware of the difference between Social Media and Social Networking. Both use the same technologies but for slightly different ends. Examples of share buttons common to many social web pages. Image from wikipedia.org

10. Social Media vs Social Networking Social Networking: Uses the same foundations as social media Creates a community of users who can share information about a specific topic Allows you to find the experts with the knowledge to answer your questions Lets you follow interesting people or colleagues to gain more knowledge real time Think: Caringbridge.org provides a blog where you can share you health challenges Think: Doctor finding a specialist with the knowledge to help treat a specific condition Be aware of the difference between Social Media and Social Networking. Both use the same technologies but for slightly different ends.

11. Improved quality and accuracy of information shared Include patients within the design of their care model with increased collaboration Reduce cost of information delivery while increasing efficiency of delivery process Providers Using “Push” Technology

12. Leverage a reduced number of specialists (e.g. regional lab pathologist expertise) Potential of “virtual visit” to reduce MOB utilization. Increased “touch point” capability with managed care Increased panel size of Home Health Staff (Dr., RN, MSW) Improved monitoring of targeted “at risk” patient populations Accurate and timely distribution of medical information to patients TeleHealth & Remote Patient Monitoring

13. Study the security regulations to determine adequate levels of security for each organization. Establish a security committee and appoint an information security officer. Identify existing security measures within the organization, including administrative, physical, and technical safeguards. Conduct a thorough risk analysis. Develop and implement remediation plans. Adequately train the workforce. Periodically review these compliance activities. HIPAA as it Relates to the Provider

14. The healthcare organizations the patient interfaces with (hospital and Physician Practice alike) recognize the importance of the HIPAA security rulings, the patient should be aware of: Contractual obligations with business associates of the treating organizations Current practices are infallible, what should you know about them Documentation is a secondary priority, be diligent, it is your PHI Impermissible use or disclosure of protected health information Lack of adequate safeguards to protect PHI Awareness of Refusal or failure to provide access to or a copy of records to individuals Disclosure of more data than are minimally necessary to satisfy requests for information Failure to have the individual’s valid authorization for a disclosure that requires one HIPAA as it Relates to the Provider

15. The Busy Mom Up at 3:00 a.m. caring for a sick infant who needs to be checked and treated Mom needs to make an appointment with the Pediatrician ASAP Her daughter’s doctor has a web presence with the availability to offer “open” schedule appointment slots Mom is able to schedule an 8:00 a.m. appt with the doctor “ Real World” Scenarios

16. Recently Discharged John underwent Open Heart Surgery He is resting at home when he develops a strange feeling chest pain John’s wife texts his doctor who reviews John’s “in-patient” chart via the HIE The doctor calls John and requests that he hook up his remote Heart Monitor (with Wi-Fi) to his iPad so his Dr. can see how his heart is doing John’s symptoms ended up being surgical pain, not related to his heart All done within 10 min. from the initial call “ Real World” Scenarios

17. Dr. Smith Has a geriatric patient (age 82), who still lives independently He sends his patient an email requesting a virtual visit to “take a look” at a “sore” on the patients right foot that is a result of the patients diabetes Dr. Smith is able to view the wound via a WebCam set up at the patient’s home Dr. Smith was able to make a clinical decision and have his Home Health RN make a site visit The patient did not have tocome into his office “ Real World” Scenarios

18. Traveling Consultant While traveling this patient loses his antibiotic medication He sends his doctor a quick IM requesting that a reorder of the medication be sent to a pharmacy close to the hotel the consultant is staying at while on site with the customer The doctor has his RN send an IM requesting a Skype video chat via the doctor Practice Portal with the consultant to make sure the patient is okay Doctor learns that he does not need a change in the antibiotic strength or type “ Real World” Scenarios

19. Community Medical Center Recently received national recognition for being one of the top 10 medical centers treating fractured hips As part of a comprehensive social media plan, they create blog posts and informative videos to continue to leverage thought leadership, gain more interest from prospective patients, and maintain their national recognition To engage the public, they send a community tweet with a link to the hospital story on the homepage of the medical center “ Real World” Scenarios

20. Young Healthcare Savvy Woman Is looking for an alternative care modality for her treatment of a skin rash She “surfs” the web and social media and finds an herbal cream she thinks will work for her She sends the web link to her allergist asking him if she could use this cream as her mode of care Her allergist reviews the cream, and its use for the treatment of the rash, and is fine with it He sends his patient an email confirming he is OK with the new TX modality “ Real World” Scenarios

21. Perficient’s Healthcare group is software agnostic Because customers often own multiple technologies, Perficient’s healthcare practice is especially well prepared to help customers leverage and extend their investment with existing IT systems. Today’s demonstration brought to you by: Social Collaboration Demo

22. Q & A

23. Join us at HIMSS 12 in Vegas! Stop at Booth No. 1274 for demonstrations and discussions on: Meaningful Use Stage 2 and Beyond Preparing for Accountable Care ePatients & Connected Health ICD-10 Transition Business Intelligence & Data Strategy Mobile Health & Telehealth PHI & Data Security Pick up the famous Perficient flashing glasses! Enter to win an iPod Touch, Xbox 360 with Kinect, gambling chips and much more!

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25. Thank You! Steve Nitenson Sr Solutions Architect - Healthcare, Perficient [email_address]  http://blogs.perficient.com/healthcare/blog/author/snitenson/