- 10% of respondents are affiliated with physician group practices. Half of these practices reported revenue drops in 2010.
- Almost 25% of physician group practices expect an increased budget for imaging devices in 2011, particularly for MRI and CR mammo systems. Increases are tied to added volume and new service lines.
- Physician group practices anticipate no change to staffing levels in 2011 but decreases in outsourced/contracted staff. Budgets for IT and imaging devices either increased or saw no change in 2010 with similar expectations for 2011.
More than 30% of survey respondents described their organization as a community hospital. Community and regional hospitals are trying to increase physician referrals through partnerships with physician groups and adding new subspecialty services. Meaningful use of electronic medical records is also a top information technology priority.
- 32% of respondents are affiliated with large, multi-hospital organizations. Revenue was nearly evenly split between gainers and decliners in 2010. 30% expect increased imaging device budgets in 2011, with SPECT/CT topping purchasing lists.
- Respondents are trying to increase physician referrals through partnerships, improving report turnaround times, and adding remote access to images and medical records.
- Top business concerns include decreases in reimbursement, improving patient satisfaction and productivity, and dealing with government regulation. Competitors include other multi-hospital organizations, imaging centers, and physician groups.
7% of respondents work at an academic medical center. IT budgets are slated to increase at 55% of academic medical centers, where upgrades to PCs, data storage, and ultrasound equipment are priorities. Academic medical centers aim to increase physician referrals by providing remote access to clinical images and information as well as new subspecialty services.
16% of respondents to a survey on top trends were from imaging centers. 22% of imaging centers saw revenue gains in 2010. Business intelligence tools are a high priority on imaging centers' IT wish lists.
The document reports on a survey of healthcare organizations. It found that respondents worked in multihospital organizations (32%), community hospitals (30%), imaging centers (13%), physician practices (10%), and academic medical centers (8%). While 40% saw decreased revenue from 2009 to 2010, 32% saw increased revenue. Revenue is increasing through adding physicians and improving efficiencies. The top concerns for organizations are decreasing reimbursement, improving patient satisfaction, improving productivity, creating new revenue sources, and competing with other providers.
Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organizational Value in a Changing Healthcare Environment"
Luis Saldana, MD, MBA, FACEP
CMIO
Texas Health Resources
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
Jacquie White, Deputy Director of NHS England Long Term Conditions, Older People & End of Life Care and Dr Eileen Pepler, Academic, Researcher and Consultant in the Canadian Healthcare will discuss how NHS England work in chronic disease is being translated into a Canadian context.
The document discusses quality improvement and patient safety in healthcare. It outlines some of the key issues in quality according to reports by the Institute of Medicine, including medical errors that kill tens of thousands annually and slow adoption of best practices. It also discusses tools and strategies for improving processes, standardizing care, initiatives by organizations like the Institute for Healthcare Improvement, and programs to enhance patient safety.
More than 30% of survey respondents described their organization as a community hospital. Community and regional hospitals are trying to increase physician referrals through partnerships with physician groups and adding new subspecialty services. Meaningful use of electronic medical records is also a top information technology priority.
- 32% of respondents are affiliated with large, multi-hospital organizations. Revenue was nearly evenly split between gainers and decliners in 2010. 30% expect increased imaging device budgets in 2011, with SPECT/CT topping purchasing lists.
- Respondents are trying to increase physician referrals through partnerships, improving report turnaround times, and adding remote access to images and medical records.
- Top business concerns include decreases in reimbursement, improving patient satisfaction and productivity, and dealing with government regulation. Competitors include other multi-hospital organizations, imaging centers, and physician groups.
7% of respondents work at an academic medical center. IT budgets are slated to increase at 55% of academic medical centers, where upgrades to PCs, data storage, and ultrasound equipment are priorities. Academic medical centers aim to increase physician referrals by providing remote access to clinical images and information as well as new subspecialty services.
16% of respondents to a survey on top trends were from imaging centers. 22% of imaging centers saw revenue gains in 2010. Business intelligence tools are a high priority on imaging centers' IT wish lists.
The document reports on a survey of healthcare organizations. It found that respondents worked in multihospital organizations (32%), community hospitals (30%), imaging centers (13%), physician practices (10%), and academic medical centers (8%). While 40% saw decreased revenue from 2009 to 2010, 32% saw increased revenue. Revenue is increasing through adding physicians and improving efficiencies. The top concerns for organizations are decreasing reimbursement, improving patient satisfaction, improving productivity, creating new revenue sources, and competing with other providers.
Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organizational Value in a Changing Healthcare Environment"
Luis Saldana, MD, MBA, FACEP
CMIO
Texas Health Resources
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
Jacquie White, Deputy Director of NHS England Long Term Conditions, Older People & End of Life Care and Dr Eileen Pepler, Academic, Researcher and Consultant in the Canadian Healthcare will discuss how NHS England work in chronic disease is being translated into a Canadian context.
The document discusses quality improvement and patient safety in healthcare. It outlines some of the key issues in quality according to reports by the Institute of Medicine, including medical errors that kill tens of thousands annually and slow adoption of best practices. It also discusses tools and strategies for improving processes, standardizing care, initiatives by organizations like the Institute for Healthcare Improvement, and programs to enhance patient safety.
SIMUL8 Director of Healthcare, Claire Cordeaux, discusses her experiences of developing and implementing population health strategies in the UK National Health Service, Canada, and Australia.
This document outlines an agenda for a HealthVault conference, including:
- An introduction to HealthVault and why it's important from 10:00-12:00.
- A discussion of security and privacy considerations for HealthVault from 13:00-13:30.
- An overview of how to develop HealthVault applications from 13:30-14:30.
- Information on how patients can engage with their health through tools like remote monitoring and chronic condition management.
Measuring What Counts in HIS - Balanced ScorecardsSudhendu Bali
This study aimed to develop a balanced scorecard (BSC) for a tertiary care private university hospital in Pakistan using a modified Delphi technique. An expert panel of clinicians and hospital managers identified and rated potential performance indicators according to importance, scientific soundness, relevance to strategy, feasibility, and modifiability. Of an initial 50 indicators, the panel selected 20 indicators across the four BSC domains of financial, customer, internal processes, and learning/growth. The resulting scorecard will be implemented to monitor performance, address measurement issues, and enable benchmarking with other settings. This represents one of the first attempts to implement BSC in a low-income country hospital setting.
SNOMED by Professor Martin Severs FRCP FFPHM Chairman Management Board.
There is a media intensive (22MB) version of this presentation with an audio track and video at:
http://hinz.org.nz/media/SNOMED-ProfSevers/
Disclaimer: Huge + You may have to hit refresh a couple of times to get it to load correctly.
The document discusses how health systems can achieve standardized patient-centric care through clinician-led transformation. It highlights the success of Trinity Health in saving $20,000 per day and improving outcomes by empowering clinicians to lead collaborative efforts to develop and implement evidence-based standardized care protocols and monitor their impact. Key aspects that contributed to Trinity Health's success include creating an open forum for clinicians to develop solutions, proving rather than just stating that clinicians are decision-makers, using data to prioritize opportunities, and establishing rigorous project management and measurement of results.
Prof Devlin discusses the rationale for the PROMs programme and provides an overview of the various uses of the EQ-5D in England—for example by NICE in health technology assessment, in population surveys and in the English NHS PROMS program. The presentation also reviews how EQ-5D data are collected, analysed and used in the UK to inform decisions by health care providers, payers and patients.
Modeling an Integrated System for Obesity & Weight ManagementSIMUL8 Corporation
Worldwide obesity has more than doubled since 1980 (WHO; 2015). This is contributing to the growing number of patients living with chronic diseases and placing mounting pressure on health systems.
In 2013, part of the Public Health system in England transferred out of the NHS into local government. Responsibility for the prevention and management of obesity in adults and children transferred with these teams, while parts of the NHS primary and secondary care system remained responsible for aspects of treatment, including bariatric surgery.
This workshop explores the challenges in commissioning a healthcare organization to provide an integrated service for obesity, weight management, and treatment in Nottinghamshire County, UK. These challenges include:
- Estimating the health needs of overweight and obese people across the County
- Taking into account the fact that needs will change over time
- The lack of available evidence
Learn how out how Scenario Generator, a population health modeling and simulation tool, was used to test assumptions and develop the evidence to procure an integrated service
The document discusses issues facing the health system in New Zealand and the vision and goals of the Health Management System Collaborative (HMSC). Key issues include an aging population, workforce shortages, and financial pressures. The HMSC aims to establish an integrated individual-centric health information system to improve care coordination and outcomes. The collaborative procurement process involves strong clinical engagement and aims to identify innovative solutions not limited by existing systems. Challenges include addressing privacy concerns while enabling information sharing and engaging existing vendors in the opportunities presented.
CDC will provide an overview of their WorkLife Wellness Office services and describe how they used the HealthLead accreditation process to provide a framework to assess the comprehensiveness of their new office and existing programs and processes. Also, how the scoring of framework identified strengths and weaknesses and how the assessment plan of action is used for future strategic planning to drive new connections, data sources, and programmatic gaps as they strive to achieve HealthLead Silver. CDC will share specific examples of what was required and shared as part of the HealthLead audit during the presentation.
Pharma challenges - Patient Centricity and Digital CapabilitiesJoana Santos Silva
Today pharma's business model is being challenged. The industry needs to rethink how it creates value. In particular, it needs to connect to patients and caregivers in a meaningful way. It many cases this connection can be guaranteed through digital tools and strategies. This presentation focuses on these challenges and showcases some best practices that are already available in the marketplace.
The document discusses the patient-centered medical home (PCMH) model and its potential benefits. It summarizes that the PCMH aims to provide patient-centered, coordinated care through a personal physician leading a team. Data from other countries shows primary care-focused systems have better outcomes and lower costs. The PCMH may benefit primary care physicians through payment reform recognizing care coordination work. It may benefit patients through improved access and chronic disease management support. Subspecialists may also benefit from opportunities to lead medical homes and fewer administrative hassles.
This White Paper discusses the intersection of the corporate onus of performance measurement data collection and reporting with that of health information technology. KSA shares its thoughts on the planning for the future-state architecture for efficient and effective performance measurement.
Accountable Care Organizations: Savings, Quality, and Information TechnologyRobert Bond
The document discusses Accountable Care Organizations (ACOs) and how they can promote savings, quality, and the use of health information technology. It explains that ACOs bring local providers together to manage the total cost and quality of care for populations of patients. ACOs use a shared savings model where providers receive reimbursement from insurers based on meeting quality targets and reducing spending growth. The document outlines various levers ACOs can use related to demand, risk, cost, quality, and infrastructure to influence outcomes. It also provides examples of ACOs that have formed across the United States.
The Aging Well Catalyst Project would involve a series of 5 workshops bringing together stakeholders from areas like healthcare, technology, and senior care to identify innovation opportunities for an aging society. The outputs would be published in a series of white papers and culminate in a public event. The Aging Well Accelerator would select and accelerate the top 3 startups in technologies supporting healthy aging over 6 months to help their path to market. Both projects aim to drive innovation and collaboration around aging well.
This document summarizes NHS England's approach to gathering patient experience and outcome data. It discusses various data collection methods, including national patient surveys, the Friends and Family Test, and Patient Reported Outcome Measures (PROMs). It notes that PROMs data shows patients report significant health improvements after surgeries and there is some variation in outcomes between hospitals. The document also outlines challenges in using this data and opportunities for the future, such as developing new PROMs for additional clinical areas and engaging patients more in collecting and using their own outcome data.
This document summarizes a randomized clinical trial comparing radial artery grafts to saphenous vein grafts for coronary artery bypass grafting. The trial involved 733 patients randomized to receive either a radial artery graft or saphenous vein graft at one of 11 VA medical centers between 2003-2008. The primary outcome was a comparison of one-year angiographic patency rates between the two graft types. No significant differences in patency rates were found between radial arteries and saphenous veins at the one-year follow-up. The study is currently funded for a five-year follow-up to evaluate longer-term patency.
This study found significant variation in breast density assessments among radiologists when reviewing mammograms. For approximately 28% of exams, all 8 radiologists agreed on the breast density. However, for 10% of exams, only half or less of radiologists agreed. Standardizing breast density reporting is important for accurately assessing cancer risk and determining appropriate screening recommendations, but current methods lack consistency. Improved radiologist education and computerized density analysis may help address this issue.
This randomized controlled trial evaluated the STARFlex septal closure device versus best medical therapy alone for stroke prevention in patients with cryptogenic stroke or TIA due to a patent foramen ovale (PFO). 909 patients were randomized to either STARFlex implantation plus medical therapy (n=447) or medical therapy alone (n=462). The primary endpoint of recurrent stroke or TIA within 2 years occurred in 5.9% of the STARFlex group versus 7.7% of the medical therapy group (p=0.30). Major vascular complications were higher in the STARFlex group. The STARFlex device showed high rates of procedural success and effective closure.
The document discusses the benefits of meditation for reducing stress and anxiety. Regular meditation practice can help calm the mind and body by lowering heart rate and blood pressure. Making meditation a part of a daily routine, even if just 10-15 minutes per day, can have mental and physical health benefits over time by helping people feel more relaxed and focused.
1) The TAMARIS trial evaluated the efficacy and safety of NV1FGF gene therapy compared to placebo for treating critical limb ischemia in patients unsuitable for revascularization.
2) The primary endpoint of reducing major amputations or death within 12 months was not met. NV1FGF did not improve amputation-free survival compared to placebo.
3) No safety signals were identified over the course of the trial and long-term follow-up is ongoing. The results suggest NV1FGF is not an effective treatment for critical limb ischemia in this patient population.
SIMUL8 Director of Healthcare, Claire Cordeaux, discusses her experiences of developing and implementing population health strategies in the UK National Health Service, Canada, and Australia.
This document outlines an agenda for a HealthVault conference, including:
- An introduction to HealthVault and why it's important from 10:00-12:00.
- A discussion of security and privacy considerations for HealthVault from 13:00-13:30.
- An overview of how to develop HealthVault applications from 13:30-14:30.
- Information on how patients can engage with their health through tools like remote monitoring and chronic condition management.
Measuring What Counts in HIS - Balanced ScorecardsSudhendu Bali
This study aimed to develop a balanced scorecard (BSC) for a tertiary care private university hospital in Pakistan using a modified Delphi technique. An expert panel of clinicians and hospital managers identified and rated potential performance indicators according to importance, scientific soundness, relevance to strategy, feasibility, and modifiability. Of an initial 50 indicators, the panel selected 20 indicators across the four BSC domains of financial, customer, internal processes, and learning/growth. The resulting scorecard will be implemented to monitor performance, address measurement issues, and enable benchmarking with other settings. This represents one of the first attempts to implement BSC in a low-income country hospital setting.
SNOMED by Professor Martin Severs FRCP FFPHM Chairman Management Board.
There is a media intensive (22MB) version of this presentation with an audio track and video at:
http://hinz.org.nz/media/SNOMED-ProfSevers/
Disclaimer: Huge + You may have to hit refresh a couple of times to get it to load correctly.
The document discusses how health systems can achieve standardized patient-centric care through clinician-led transformation. It highlights the success of Trinity Health in saving $20,000 per day and improving outcomes by empowering clinicians to lead collaborative efforts to develop and implement evidence-based standardized care protocols and monitor their impact. Key aspects that contributed to Trinity Health's success include creating an open forum for clinicians to develop solutions, proving rather than just stating that clinicians are decision-makers, using data to prioritize opportunities, and establishing rigorous project management and measurement of results.
Prof Devlin discusses the rationale for the PROMs programme and provides an overview of the various uses of the EQ-5D in England—for example by NICE in health technology assessment, in population surveys and in the English NHS PROMS program. The presentation also reviews how EQ-5D data are collected, analysed and used in the UK to inform decisions by health care providers, payers and patients.
Modeling an Integrated System for Obesity & Weight ManagementSIMUL8 Corporation
Worldwide obesity has more than doubled since 1980 (WHO; 2015). This is contributing to the growing number of patients living with chronic diseases and placing mounting pressure on health systems.
In 2013, part of the Public Health system in England transferred out of the NHS into local government. Responsibility for the prevention and management of obesity in adults and children transferred with these teams, while parts of the NHS primary and secondary care system remained responsible for aspects of treatment, including bariatric surgery.
This workshop explores the challenges in commissioning a healthcare organization to provide an integrated service for obesity, weight management, and treatment in Nottinghamshire County, UK. These challenges include:
- Estimating the health needs of overweight and obese people across the County
- Taking into account the fact that needs will change over time
- The lack of available evidence
Learn how out how Scenario Generator, a population health modeling and simulation tool, was used to test assumptions and develop the evidence to procure an integrated service
The document discusses issues facing the health system in New Zealand and the vision and goals of the Health Management System Collaborative (HMSC). Key issues include an aging population, workforce shortages, and financial pressures. The HMSC aims to establish an integrated individual-centric health information system to improve care coordination and outcomes. The collaborative procurement process involves strong clinical engagement and aims to identify innovative solutions not limited by existing systems. Challenges include addressing privacy concerns while enabling information sharing and engaging existing vendors in the opportunities presented.
CDC will provide an overview of their WorkLife Wellness Office services and describe how they used the HealthLead accreditation process to provide a framework to assess the comprehensiveness of their new office and existing programs and processes. Also, how the scoring of framework identified strengths and weaknesses and how the assessment plan of action is used for future strategic planning to drive new connections, data sources, and programmatic gaps as they strive to achieve HealthLead Silver. CDC will share specific examples of what was required and shared as part of the HealthLead audit during the presentation.
Pharma challenges - Patient Centricity and Digital CapabilitiesJoana Santos Silva
Today pharma's business model is being challenged. The industry needs to rethink how it creates value. In particular, it needs to connect to patients and caregivers in a meaningful way. It many cases this connection can be guaranteed through digital tools and strategies. This presentation focuses on these challenges and showcases some best practices that are already available in the marketplace.
The document discusses the patient-centered medical home (PCMH) model and its potential benefits. It summarizes that the PCMH aims to provide patient-centered, coordinated care through a personal physician leading a team. Data from other countries shows primary care-focused systems have better outcomes and lower costs. The PCMH may benefit primary care physicians through payment reform recognizing care coordination work. It may benefit patients through improved access and chronic disease management support. Subspecialists may also benefit from opportunities to lead medical homes and fewer administrative hassles.
This White Paper discusses the intersection of the corporate onus of performance measurement data collection and reporting with that of health information technology. KSA shares its thoughts on the planning for the future-state architecture for efficient and effective performance measurement.
Accountable Care Organizations: Savings, Quality, and Information TechnologyRobert Bond
The document discusses Accountable Care Organizations (ACOs) and how they can promote savings, quality, and the use of health information technology. It explains that ACOs bring local providers together to manage the total cost and quality of care for populations of patients. ACOs use a shared savings model where providers receive reimbursement from insurers based on meeting quality targets and reducing spending growth. The document outlines various levers ACOs can use related to demand, risk, cost, quality, and infrastructure to influence outcomes. It also provides examples of ACOs that have formed across the United States.
The Aging Well Catalyst Project would involve a series of 5 workshops bringing together stakeholders from areas like healthcare, technology, and senior care to identify innovation opportunities for an aging society. The outputs would be published in a series of white papers and culminate in a public event. The Aging Well Accelerator would select and accelerate the top 3 startups in technologies supporting healthy aging over 6 months to help their path to market. Both projects aim to drive innovation and collaboration around aging well.
This document summarizes NHS England's approach to gathering patient experience and outcome data. It discusses various data collection methods, including national patient surveys, the Friends and Family Test, and Patient Reported Outcome Measures (PROMs). It notes that PROMs data shows patients report significant health improvements after surgeries and there is some variation in outcomes between hospitals. The document also outlines challenges in using this data and opportunities for the future, such as developing new PROMs for additional clinical areas and engaging patients more in collecting and using their own outcome data.
This document summarizes a randomized clinical trial comparing radial artery grafts to saphenous vein grafts for coronary artery bypass grafting. The trial involved 733 patients randomized to receive either a radial artery graft or saphenous vein graft at one of 11 VA medical centers between 2003-2008. The primary outcome was a comparison of one-year angiographic patency rates between the two graft types. No significant differences in patency rates were found between radial arteries and saphenous veins at the one-year follow-up. The study is currently funded for a five-year follow-up to evaluate longer-term patency.
This study found significant variation in breast density assessments among radiologists when reviewing mammograms. For approximately 28% of exams, all 8 radiologists agreed on the breast density. However, for 10% of exams, only half or less of radiologists agreed. Standardizing breast density reporting is important for accurately assessing cancer risk and determining appropriate screening recommendations, but current methods lack consistency. Improved radiologist education and computerized density analysis may help address this issue.
This randomized controlled trial evaluated the STARFlex septal closure device versus best medical therapy alone for stroke prevention in patients with cryptogenic stroke or TIA due to a patent foramen ovale (PFO). 909 patients were randomized to either STARFlex implantation plus medical therapy (n=447) or medical therapy alone (n=462). The primary endpoint of recurrent stroke or TIA within 2 years occurred in 5.9% of the STARFlex group versus 7.7% of the medical therapy group (p=0.30). Major vascular complications were higher in the STARFlex group. The STARFlex device showed high rates of procedural success and effective closure.
The document discusses the benefits of meditation for reducing stress and anxiety. Regular meditation practice can help calm the mind and body by lowering heart rate and blood pressure. Making meditation a part of a daily routine, even if just 10-15 minutes per day, can have mental and physical health benefits over time by helping people feel more relaxed and focused.
1) The TAMARIS trial evaluated the efficacy and safety of NV1FGF gene therapy compared to placebo for treating critical limb ischemia in patients unsuitable for revascularization.
2) The primary endpoint of reducing major amputations or death within 12 months was not met. NV1FGF did not improve amputation-free survival compared to placebo.
3) No safety signals were identified over the course of the trial and long-term follow-up is ongoing. The results suggest NV1FGF is not an effective treatment for critical limb ischemia in this patient population.
This document discusses strategies and priorities for a community hospital. It notes that over 30% of survey respondents described their organization as a community hospital. Such hospitals are partnering with physician groups and adding new subspecialty services to increase referrals. Meaningful use of electronic medical records is also a priority, as EMRs were cited as a top information technology need.
The ACT Trial was a large, pragmatic randomized controlled trial that investigated whether acetylcysteine reduces the risk of contrast-induced nephropathy (CIN) in over 2,300 patients undergoing coronary angiography. The trial found no difference in the primary outcome of CIN or other clinical outcomes like mortality between patients receiving acetylcysteine or placebo. Subgroup and sensitivity analyses also found no benefit of acetylcysteine. An updated meta-analysis of high-quality trials, including the ACT Trial, similarly found no effect of acetylcysteine on reducing CIN risk. The results suggest acetylcysteine is not effective in preventing CIN and may inform updating clinical guidelines.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
This document discusses translating evidence into practice in the era of electronic medical records. It provides an overview of the translational pathway from biomedical research to improved population health. On average, it takes 16 years to translate a biomedical innovation from the bench to the bedside. Several factors influence the speed of adoption of new practices, including consciousness-raising, changing social norms, and making new behaviors easier through system changes. The document reviews sources of evidence for implementation, including local experts, journals, Cochrane reviews, professional societies, and clinical practice guidelines. Trustworthy guidelines are developed through a transparent process and are based on systematic reviews.
The BioFreedom trial was a prospective randomized trial comparing the polymer-free Biolimus A9-eluting BioFreedom stent to the paclitaxel-eluting Taxus stent. The primary endpoint of in-stent late lumen loss at 12 months was met, with the BioFreedom stent demonstrating non-inferiority to the Taxus stent. Both stents also demonstrated comparable safety and efficacy up to 12 months, including an absence of stent thrombosis. Larger trials with longer follow-up are still needed to fully validate the promising results of the polymer-free BioFreedom stent.
The ASCOT (Anglo-Scandinavian Cardiac Outcomes Trial) study was used to evaluate the relationship between administering CRP prior to, and on-treatment with statins and their association with cardiovascular (CV) events.
http://www.cardiovascularbusiness.com/topics/prevention/aha-crp-screening-may-not-improve-cv-risk-assessments-ascot-shows
WASHINGTON, D.C.—Use of certain doses of atopaxar in acute coronary syndrome patients can reduce rates of bleeding, cardiovascular events and better achieve platelet inhibition, according to the results of the LANCELOT-ACS trial presented Sept. 23 as a late-breaking clinical trial during the 2010 Transcatheter Cardiovascular Therapeutics (TCT) annual meeting.
www.cardiovascularbusiness.com/topics/coronary-intervention-surgery/tct-lancelot-acs-says-certain-doses-atopaxar-can-reduce-bleeding-cv-events
SAN FRANCISCO—Results from ORBIT II, a clinical trial designed to evaluate the safety and efficacy of the Diamondback 360° Orbital Atherectomy System to treat de novo severely calcified coronary lesions, were presented March 9 at the American College of Cardiology (ACC) scientific session.
This document discusses challenges with using electronic health records (EHRs) to support clinical knowledge management (KM) and continuous learning. It outlines several investments made by Lahey Health to address these challenges, including using an external collaboration platform to manage clinical decision support (CDS) content outside of the EHR. The document argues that EHRs are not designed for collaboration or learning, and that clinical KM 3.0 approaches are needed to help health systems and users continuously self-improve.
The document discusses Blue Button, a national initiative that allows patients to access and share their medical records digitally. It describes the evolution of Blue Button from simple text files to iBlueButton, a mobile app that gives patients longitudinal health records and two-way data exchange capabilities. iBlueButton meets federal standards for record sharing and allows real-time access to records from any device. The document advocates expanding Blue Button's use among Medicare beneficiaries to help address gaps in care coordination.
If you want to avoid damaging litigation, concentrate on dialogue and details. Cardiologists who fail to maintain detailed, two-way conversations with patients and thoroughly assess diagnostic data are at risk of negligence lawsuits, a study shows.
This document provides details on the top 5 sessions to attend at the HIMSS.15 conference. The sessions cover topics like structured cardiology procedure reporting, connected heart health using American Heart Association resources, using BI and analytics to reduce sepsis and heart failure readmissions, how health information exchanges can support population health through New York's Million Hearts initiative, and a session on transforming data into information and driving transformation. Speakers include doctors, public health experts, and data analysts.
The document discusses innovation with commercial electronic health records (EHRs) at New York Hospital Queens. It provides background on the hospital, which began in 1892 and has grown to a 519-bed facility. It discusses definitions of innovation and the diffusion of innovations theory. It then reviews studies showing increasing adoption of EHRs by physicians and hospitals between 2012-2013, though adoption is still uneven. The document concludes by outlining some of New York Hospital Queens' innovations with their commercial EHR system, including order sets, clinical documentation, decision support tools, and alerts to improve quality.
This document discusses trends at academic medical centers. It notes that 7% of respondents work at academic medical centers, 55% of which plan to increase their IT budgets. Top priorities for technology purchases include PCs, data storage, and mobile devices. Ultrasound equipment is most likely to be upgraded or replaced among clinical imaging devices.
- 32% of respondents are affiliated with large, multi-campus healthcare systems
- In 2010, revenue was nearly evenly split between gainers and decliners
- 30% of respondents expect increased budgets for imaging devices like SPECT/CT in 2011
- 16% of survey respondents are associated with imaging centers
- 22% of imaging centers saw revenue gains in 2010
- Business intelligence tools rank high on the imaging center IT wish list
Half of physician group practices reported revenue drops in 2010. Almost 25% expect increased imaging device budgets in 2011 to add new services and increase volumes. MRI and mammography are high priorities for new purchases.
This document discusses physician engagement strategies for hospitals. It begins by defining physician engagement and its importance in today's value-based healthcare system where strategies revolve around physicians. Various physician arrangement models are presented along with their degree of control and risk for the hospital. Tracking metrics for physician engagement like volume, revenue, and quality are suggested. The importance of understanding physician perspectives and culture is emphasized. Successful engagement requires functional changes like new technology as well as emotional changes like making physicians feel valued, supported and involved in decision making. Tactics discussed include dedicated physician relations resources, communication, and helping physicians with their needs rather than focusing on sales.
The document discusses Summa Health System, an integrated healthcare delivery system in Ohio. It consists of hospitals, physicians, a health plan, and a foundation. Summa aims to provide high-quality, accountable care through clinical integration and partnerships. It owns Summa Physicians Inc, which employs over 250 physicians. Summa seeks to advance value-based care and reduce costs through its accountable care organization model and patient-centered medical homes.
Using employed physicians as a competitive weapon involves developing strategic plans to leverage employed physician groups to increase hospital revenue and market share. Key strategies include managing referrals within the employed group, developing primary care and specialty care networks, improving care processes, pursuing clinical integration and risk-based contracting opportunities, and focusing groups on quality and cost metrics. Success requires investing in physician leadership development, marketing the physician brand, and ensuring cultural and operational alignment between the hospital and employed physicians.
This document discusses the patient centered medical home (PCMH) model and its benefits. It notes that PCMHs aim to achieve the triple aim of improved patient care, improved population health, and reduced healthcare costs. Studies show that PCMHs have led to reductions in hospital days, ER visits, and total healthcare costs, while also increasing medication adherence. The document advocates for expanding PCMHs and reforming payment systems to incentivize their growth and success.
This document outlines Coors Healthcare Solutions' strategic physician solutions program. It discusses challenges facing physician practices like satisfaction, retention, and costs. The program aims to improve communication through a Physician Advisory Council (PAC) and develop alignment options between physicians and hospitals. It also covers physician recruitment and retention training. The document provides data on trends in physician alignment and considerations for doctors. It details tools in the program like the PAC, engagement strategies, and alignment structures. The goal is to ultimately integrate physicians through quality measurement, clinical integration, and IT infrastructure to achieve strategic program implementation targets.
1115 aine carroll clinical leaders forum nhc integrated care turning healthca...investnethealthcare
This document summarizes a presentation on integrated care given at the National Healthcare Conference in 2015. It discusses different types of integrated care including horizontal, vertical, and within sectors. Integrated care aims to provide coordinated services across providers and settings to support patients. Barriers to integrated care include fragmentation, distrust, and lack of coordination between strategy and operations. National clinical programs in Ireland have led to improved outcomes for conditions like heart attacks, surgery, and stroke through more integrated models of care. However, challenges remain around resources, hierarchies, and fully implementing integrated approaches across the healthcare system.
The Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents is an initiative designed to improve care for people living in nursing facilities who are enrolled in Medicare and Medicaid.
Through this initiative, CMS will partner with independent organizations to improve care for long-stay nursing facility residents. These organizations will collaborate with nursing facilities and States to provide coordinated, person-centered care with the goal of reducing avoidable hospital stays.
In this webinar, staff from the Medicare-Medicaid Coordination Office (MMCO) and the CMS Innovation Center will provide an overview of the initiative, and offer information about how to apply.
More at: http://innovations.cms.gov/resources/Duals_rahnfr_apply.html
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http://innovation.cms.gov
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Strategic and Hospital Management presentation.pptxmohammadsadique29
Holy Family Hospital is a 345-bed multi-specialty hospital located in South Delhi that has been operating for over 50 years. As a non-profit charitable organization, it aims to provide affordable healthcare to all sections of society. Some of its strengths include its long experience in the market, low-cost services, and experienced medical staff. However, it also faces weaknesses such as a small waiting area, lack of teleconsultation services, and long patient wait times. Going forward, it sees opportunities from Delhi's aging population, potential for new medical expertise, and reduced waiting times. Threats include high equipment costs, limited finances, and resistance to change.
This document provides an overview of developing a game-changing telehealth strategy. It identifies key steps such as conducting stakeholder interviews, assessing current clinical services, identifying top telehealth opportunities, developing use cases and financial models, and creating an organizational and governance structure. The goal is to develop a comprehensive telehealth business plan that can be presented for executive approval and funding. The document also covers telehealth definitions, popular service types, growth drivers in the market, and considerations for strategic implementation.
In October 2014, INTEGRATED's Bill Jessee presented "Where Is Healthcare Going? And How Will We Get There?" at Iowa Hospital Association's annual meeting. The presentation focuses on the forces shaping healthcare today, the delivery system changing in response to the environment, and what this all means for hospitals and physicians.
Helen parker and naresh rati the vitality partnershipNuffield Trust
This document describes the formation and operation of a large integrated care organization called "Vitality" created through the merger of 14 general practices. Key features include a registered patient list of over 80,000 served across 7 primary care sites, 150+ staff including 11 full-time equivalent GPs, and the integration of 9 specialist NHS services and 2 private services. Drivers for formation included the need for larger scale investments and a more sustainable primary care model. Challenges include influencing clinical commissioning and maintaining momentum amid contract changes. The impact has been improved quality, increased local influence, and a more viable alternative to hospital care.
Perspectives on health information systems in indian hospitals dr devtaneja_m...DrDevTaneja
This document discusses perspectives on health information systems in Indian hospitals. It begins by outlining why HIS (health information systems) are important for monitoring clinical, operational, and financial performance indicators. It then discusses what is currently missing in Indian HIS including clinical information systems, electronic medical records, chronic disease management systems, good financial modules, ERP systems, and business intelligence/health analytics software. The document compares Indian HIS vendors to international vendors and identifies weaknesses in both Indian HIS vendors and hospital users. It outlines an ideal roadmap for implementing HIS as a strategic tool for improving enterprise performance.
In this Thursday, July 12, 2012 webinar, presentations focused on learning more about program requirements, preferences, and other keys to success from CMS Innovation Center staff and communities currently participating in the CCTP program. The final CCTP review panel for 2012 convened on September 20, 2012. Applications must have been received by September 3rd to be considered for this review. Future panels may be announced as funding permits.
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CMS Innovation Center
http://innovation.cms.gov
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The Health Systems Administration program at Georgetown has its students complete case projects for a fictional community, Middleboro. Throughout the program we created several deliverables: Community Profile, Community Health Assessment, Strategic Plan, Marketing Plan, and Business Plan.
This document provides a summary of 6 late-breaking sessions to attend at the Heart Rhythm Society Scientific Sessions in Boston from May 13-16, 2015. The sessions include: (1) a study on the impact of remote monitoring on clinical events and healthcare utilization; (2) a randomized global trial comparing uninterrupted rivaroxaban to vitamin K antagonists in patients undergoing catheter ablation; and (3) a study comparing cryoballoon versus open irrigated radiofrequency ablation in patients with paroxysmal atrial fibrillation. The other sessions include: (4) first-in-human experience with a miniaturized transcatheter pacing system; (5) results from the Canadian Registry of Card
This document provides details on the top 5 sessions to attend at the HIMSS.15 conference. The sessions cover topics like structured cardiology procedure reporting, connected heart health using American Heart Association resources, using BI and analytics to reduce sepsis and heart failure readmissions, how health information exchanges can support population health through New York's Million Hearts initiative, and a session on transforming data into actionable information. The sessions will take place between April 13-16, 2015 and include speakers such as doctors, healthcare executives, and data analysts.
This document summarizes 7 innovative technologies that will be on display at ACC.15:
1) Medtronic's CoreValve transcatheter aortic valve replacement system provides a minimally invasive alternative to open heart surgery for replacing diseased heart valves.
2) St. Jude Medical's CardioMEMS heart failure monitoring system allows clinicians to monitor pulmonary pressures and manage treatment in patients with heart failure.
3) Toshiba's dose-tracking system measures radiation skin dose during interventional procedures to help clinicians monitor patient radiation exposure.
4) Merge Cardio provides a centralized web-based system for physicians to manage multiple aspects of patients' integrated cardiovascular records.
The document summarizes several imaging sessions at the upcoming American College of Cardiology's Annual Scientific Session & Expo on March 14-16 in San Diego. Key sessions include:
1) Results from the PROMISE trial comparing diagnostic testing for chest pain will be presented on Saturday, and costs will be discussed on Sunday.
2) A joint multimodality imaging symposium with several societies will discuss imaging high risk patients, techniques for difficult diagnoses, and radiation safety.
3) An international perspective on cardiac imaging will be provided including a discussion of using CT on Egyptian mummies to study heart disease over millennia.
The 2014 RSNA conference in Chicago saw over 56,000 attendees, up 5% from the previous year, with more than 2,000 additional professional registrations. Although exhibitor attendance dipped slightly by 2%, the conference floor was packed with 636 exhibits occupying over 426,000 square feet. The conference featured special exhibits celebrating RSNA's 100th anniversary and highlighting the organization's contributions to advances in medical imaging over the past century.
Aos 213 01 nelson rivaroxaban effectiveness and safety in nvaf finalTrimed Media Group
This study compared the real-world effectiveness and safety of rivaroxaban versus warfarin for stroke prevention in nonvalvular atrial fibrillation patients using claims data. The study found:
1) Rivaroxaban and warfarin had similar risks of major bleeding, stroke, systemic embolism, and venous thromboembolism.
2) Rivaroxaban was associated with a higher risk of gastrointestinal bleeding compared to warfarin.
3) Patients were less likely to discontinue rivaroxaban treatment compared to warfarin, suggesting better treatment persistence with rivaroxaban.
This document summarizes a study examining the length of stay and economic implications of treating pulmonary embolism with rivaroxaban versus low molecular weight heparin-vitamin K antagonist (LMWH-VKA) in an emergency room setting. The study found that among patients in North America from the EINSTEIN PE trial, the median length of stay was 1 day shorter for those treated with rivaroxaban (3 days) compared to LMWH-VKA (4 days). This 1 day reduction in length of stay was associated with an estimated $2040 savings per patient for the rivaroxaban cohort based on average hospital costs. The study concluded that rivaroxaban was associated with a consistent
Shorr and bria innovation at the point-of-care rethinking the doctor-patient...Trimed Media Group
The document discusses innovations in doctor-patient interactions through technology. It proposes two solutions: 1) Creating a "story" of the patient's medical history and presenting issues for doctors to review before visits to improve care. This would be generated through automated document assembly. 2) Developing an "ad hoc" user interface optimized for point-of-care use, allowing doctors to take notes digitally in various formats like ink, checkboxes and dictation to focus on patient interaction instead of formal documentation. The goal is to enhance both the patient and provider experience through disruptive technology.
Kuperman Health Information Exchange & Care CoordinationTrimed Media Group
1) Care coordination requires improved information sharing both within care teams and across settings using health information exchange (HIE). However, current electronic health records (EHRs) were not designed for care coordination and do not adequately support sharing data and coordinating care.
2) NewYork-Presbyterian Hospital is working to enhance care coordination for patients with diabetes and depression by improving EHR tools, care team workflows, and data sharing across settings using its regional HIE. Key features include standardized screening and monitoring, patient and provider education, population health analytics, and secure messaging.
3) The success of care coordination interventions is being evaluated based on clinical outcomes like HbA1c and depression measures, as well as process measures
This document discusses the need for innovation in healthcare, particularly for the elderly population and their caregivers. It introduces the InfoSAGE project, which aims to create a "living laboratory" to study how technology can improve communication, coordination and collaboration between elderly patients and their families. InfoSAGE will connect various sources of health information and services through identity and content coordination to address the challenges of aging and caregiving. The goal is to develop tools that help address problems around care coordination, respecting patient preferences and reducing caregiver burnout, as electronic health records currently do not adequately meet the needs of elderly patients and their families.
[Hongsermeier] clinical decision support services amdis finalTrimed Media Group
1) Clinical Decision Support Services (CDSS) allow externalization of clinical knowledge and decision support logic from electronic health records (EHRs) to specialized CDSS providers.
2) The Clinical Decision Support Consortium (CDSC) is working on standards for knowledge management, specification, and sharing of CDS content and services.
3) Opportunities exist for EHR vendors to leverage external CDSS as curating all needed clinical knowledge internally is challenging, and most EHR CDS cannot support advanced inferencing required for personalized medicine. Challenges include ensuring appropriate implementation and use of external CDSS within EHR workflows.
This document discusses delivering clinical knowledge and guidance directly into healthcare workflows through clinical decision support (CDS). CDS aims to provide clinicians and patients with intelligently filtered, situation-specific information to enhance patient care. The goal is to repurpose existing clinical content from various sources and deliver the most precise and useful information for each workflow and information need. Physician information needs were analyzed from query data to develop an ontology of needs. Content is curated, indexed as discrete facts, and tailored for specific situations by matching it to patient data, workflows, and information needs. Knowledge delivery aims to integrate actionable tools and options directly into clinical systems like EHRs.
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
The document is from the Intelligent Health Lab and discusses several topics:
1. The Lab's director and its affiliation with Harvard.
2. The potential for an "App Store for Health" where innovators can create and distribute apps across EMR systems, similar to app stores for smartphones.
3. The vision of a "Learning Health System" where evidence is continuously generated from patient data to improve outcomes over time.
Kibbe expect direct health information exchange in the context of state 2 mea...Trimed Media Group
This document provides an introduction to Direct exchange for those engaged in Stage 2 Meaningful Use programs. It discusses how Direct exchange relates to Stage 2 MU objectives and the role of DirectTrust in supporting Direct exchange adoption. Direct exchange allows EHR users using different vendors to securely send and receive messages and attachments. It is one way providers can meet Stage 2 MU requirements for transmitting care summaries during transitions of care and allowing patients to view, download and transmit health information. The document describes how Direct exchange works, involving Health Information Service Providers, Certificate Authorities, Registration Authorities, and X.509 certificates to enable secure exchange between organizations and individuals.
Crotty engaging patients in new ways from open notes to social mediaTrimed Media Group
The document discusses new ways to engage patients through open notes and social media. It describes initial findings from the OpenNotes project that showed patients found value in reading clinical notes. It also outlines how patients use social media to find health information and connect with others. The document argues that healthcare providers can leverage these technologies and concepts to reduce information asymmetry, educate patients, and learn from them to provide more engaging and effective care.
The document discusses innovation with commercial electronic health records (EHRs) at Partners HealthCare. It describes Partners HealthCare's structure and approach to innovation, which includes advancing core work and creating new solutions. The clinician team focuses on areas like clinical process redesign, clinical informatics, and knowledge management. Guiding principles for fostering innovation emphasize supporting innovators, prioritizing innovations aligned with Partners' strategy, and disseminating innovations across Partners HealthCare. A prioritization framework is being created to evaluate innovative projects according to standard criteria.
3D Volume Echocardiography: Answering the Challenges of the Right HeartTrimed Media Group
Dr. Michael Pfeiffer, a cardiologist and assistant professor of medicine at Penn State Hershey Heart and Vascular Institute in Hershey, Pa. discusses the advantages of 3D volume echocardiography in the right heart.
Oklahoma State University Medical Center: CVIS Enhances Image Quality & Produ...Trimed Media Group
Featured Speakers:
Connie Ryan, Cardiology Resource Manager at Oklahoma State University Medical Center shares how OSUMC was successful in enhancing their physicians workflow and in increasing productivity with GE Healthcare’s Centricity Cardio Enterprise Solution (CCE).
Don Woodlock, Sr. Vice President and General Manager Cardiovascular IT, GE Healthcare will discuss the technology behind its Centricity Cardio Enterprise solution - a web-based enterprise cardiovascular IT solution with unified imaging, workflow, analytics and reporting. A robust solution that can help cardiology departments and hospital administrators respond quickly to today's healthcare challenges.
Learn how Centricity Cardio Enterprise solution can help you achieve the following benefits:
• Improve Physicians Access
• Increase Productivity
• Enhance Patient Care
The document discusses the future of clinical documentation and the need to expand the current physician notes paradigm to support care coordination and the team care model. It notes that achieving care coordination is key to realizing the Triple Aim and that the current notes are not adequate. The notes need to include clinician colleagues, patients, and outcomes of the care plan. It also addresses principles of clinical documentation and the need to support care coordination through documentation during transitions of care.