HealthTech Magazine - Technology Solutions That Drive Healthcare en One Year Later: How the Thrive Center Has Become a Leading Voice in Senior Care Innovation <span>One Year Later: How the Thrive Center Has Become a Leading Voice in Senior Care Innovation</span> <span><span lang="" about="/user/22746" typeof="schema:Person" property="schema:name" datatype="" content="juliet.vanwagenen_22746">juliet.vanwage…</span></span> <span>Mon, 11/19/2018 - 11:56</span> <div><p>Last fall <a href="">on this blog</a>, I wrote about the <a href="">opening of a new facility in Louisville, Ky.</a>, called the <a href="" target="_blank">Thrive Center</a>, which not only showcases many of the latest technologies enhancing senior care, but also serves as a meeting destination for industry leaders, educators and others interested in the space.</p> <p>Fast forward a year, and it’s clear the organization has built a reputation among senior care leaders — not just in the U.S., but abroad as well — as a go-to location to learn about innovation in the industry.</p> <p>According to Thrive Center Executive Director Sheri Rose, nearly <strong>100 organizations from 17 states</strong>, including providers and government agencies, have visited the facility since its ribbon-cutting ceremony in October 2017. What’s more, nearly <strong>90 entrepreneurs</strong> and vendors from <strong>22 states and five countries</strong> have also visited, sharing their wisdom, learning from Thrive and continuing the conversation about technology’s role in senior care.</p> <p>“We’ve learned a lot in a year,” Rose says. “We will evolve based on our learnings about where we need to take this organization and how we can continue to serve the industry and drive quality of life for our aging adults.”</p> <p>“We take the fear out of technology,” she adds. “By doing that, we invite seniors and organizations to just engage with it.”</p> <p><em><a href="" target="_blank"><strong>VIDEO:</strong> Thrive Center CEO highlights how innovation can improve senior care!</a></em></p> <h2>A Focus on Caregivers in Senior Care</h2> <p>One way the Thrive Center educates visitors to the facility is by focusing on annual themes within the industry. The organization’s opening theme centered on memory care and dementia; the coming year’s theme pivots slightly from there to focus on the caregiving side of the industry.</p> <p>“For example, I’m meeting with the Alzheimer’s Association, and together we’re going to <strong>curate the research message that we want to give</strong>. We’re going to set up labs where professional caregivers or caregivers at home will be able to walk through and see what it’s like through the eyes of someone with Alzheimer’s disease,” Rose says.</p> <p>That focus is critical, she says, not only because of the high turnover rate of caregivers in the industry, but also because of the millions of people who serve as unpaid caregivers for family members.</p> <p>“<strong>Our mission is focused on living and thriving</strong>, not aging and dying,” she says. “We’re trying to give caregivers a feel for working with seniors.”</p> <h2>Recognition for Thrive Center at Home and Abroad</h2> <p>The Thrive Center continues to be recognized for its approach to digital health and education in the senior care space. It recently was nominated for a <a href="" target="_blank">MediStar Award</a> for health innovation, and Rose says that several industry leaders from around the world have asked how they can start similar efforts in their countries.</p> <p>Hosting so many groups and individuals has really helped to<strong> put aging into perspective </strong>for Rose.</p> <p>“What we’ve learned is that aging is not just a U.S. issue, but a global issue,” she says. “Sweden doesn’t have near the population that we have, and neither does Australia, but they’re all facing this baby boomer tsunami. What we’re able to do is <strong>forge those international alliances</strong> so we can talk about what’s going on together.”</p> <p><em>This article is part of </em>HealthTech<em>’s <a href="">MonITor blog series</a>. Please join the discussion on Twitter by using <a href="">#WellnessIT</a>.</em></p> <p><em><a data-entity-type="" data-entity-uuid="" href="" target="_blank"><img alt="MonITor_logo_sized.jpg" data-entity-type="" data-entity-uuid="" src="/sites/" /></a></em></p> </div> <div> <div class="field-author"><a href="/author/ginna-baik-0" hreflang="en">Ginna Baik</a></div> </div> Mon, 19 Nov 2018 16:56:17 +0000 juliet.vanwagenen_22746 41791 at Secure E-Prescription Software Helps Healthcare Orgs Battle the Opioid Crisis <span>Secure E-Prescription Software Helps Healthcare Orgs Battle the Opioid Crisis</span> <span><span lang="" about="/user/22746" typeof="schema:Person" property="schema:name" datatype="" content="juliet.vanwagenen_22746">juliet.vanwage…</span></span> <span>Sun, 11/18/2018 - 18:47</span> <div><p dir="ltr">Driven partially by the benefits it offers, such as<a href="" target="_blank"> reducing prescription errors</a>, e-prescribing is old hat for the healthcare industry in many ways. In fact, by April 2014, more than <strong>40 percent</strong> of physicians in all states had already adopted e-prescribing practices,<a href="" target="_blank"> according to the Office of the National Coordinator for Health IT (ONC)</a>.</p> <p dir="ltr">What’s new, however, is the adoption of the technology for<strong> controlled substances</strong>, something that’s becoming more commonplace as providers and governments alike seek to <a href="">quell the opioid crisis</a>. This response has been shaped by the Drug Enforcement Administration’s 2010 Electronic Prescriptions for Controlled Substances (EPCS) rule, which <strong>allows clinicians to transmit prescriptions for controlled substances electronically</strong>. Adoption also has been bolstered by many recent state and local laws that aim to<a href=""> better track controlled-substance prescriptions</a> via e-prescribing tech, in conjunction with <a href="">prescription drug monitoring programs</a>.</p> <p dir="ltr"><a href="" target="_blank"><em><strong>DOWNLOAD:</strong> Prioritize security with a risk-based strategy!</em></a></p> <h2 dir="ltr">Hartford Pivots to Electronic Prescriptions for Controlled Substances</h2> <p dir="ltr">Connecticut-based <a href="" target="_blank">Hartford HealthCare</a> is one organization that recently made the switch to EPCS, aiming to meet a mandate by the state as well as to do its part to help battle substance abuse, explains Spencer Erman, M.D., Hartford HealthCare’s vice president and chief medical informatics officer.</p> <p dir="ltr">Prior to adopting EPCS, Hartford HealthCare was exclusively prescribing controlled substances using paper prescription pads.</p> <p dir="ltr">“It was an<strong> inefficient system</strong> because clinicians were already e-prescribing noncontrolled drugs via autosigned fax straight from the Epic electronic health record system. But then, for scheduled drugs, we had to print scripts on paper, manually sign them and fax them to the pharmacy, or write a paper prescription and note in the EHR that we had prescribed it. It created dual workflows,” explains Erman.</p> <p dir="ltr">Moreover, the paper prescriptions left room for fraud or forged prescriptions, not to mention that it was frustrating for patients who needed to return for a paper prescription if they needed a refill.</p> <p dir="ltr">Legislation that passed in June 2017 left the healthcare organization with less than six months to implement the system. In the end, it took <strong>only six weeks to make the switch</strong>, Erman notes.</p> <p dir="ltr">After forming a search committee, Hartford HealthCare chose to implement an EPCS system from <a href=";ctlgfilter=&amp;searchscope=all&amp;sr=1" target="_blank">Imprivata</a> — a “no brainer,” as the organization was already using <a href="" target="_blank">Imprivata’s single sign-on desktop virtualization system </a>and had a HIPAA Business Associate Agreement in effect.</p> <p dir="ltr">Imprivata’s EPCS technology allowed Hartford HealthCare to work seamlessly with already existing systems, including the Epic EHR, without alienating potentially change-resistant clinicians, Erman explains. “The system is simple to use once you are registered. Basically, if you are on the hospital Wi-Fi, you put in an electronic prescription, enter your password, and an instant message appears on the screen of your phone that says, ‘do you approve this medication?’ You swipe it, and you are done.”</p> <p dir="ltr">After only a month, <strong>94 percent</strong> of prescriptions at Hartford HealthCare are going out electronically, “which is <strong>incredible</strong>,” Erman notes.</p> <h2 dir="ltr">The Benefits of EPCS</h2> <p dir="ltr">When it comes to battling the opioid epidemic, e-prescribing has one major advantage: It gets paper prescriptions off the streets. This, in turn, helps <strong>reduce doctor shopping, fraud </strong><strong>and</strong><strong> drug diversion</strong>, all of which can occur when the prescription is in the patient’s hands.</p> <p dir="ltr">“EPCS provides a <strong>secure, transparent system</strong> that makes it easier to prescribe controlled substances to those patients who legitimately need them, while making it more difficult to commit fraud or abuse,” explains Sean Kelly, M.D., chief medical officer at Imprivata.</p> <p dir="ltr">For Hartford HealthCare, Erman explains that with EPCS, forged and altered prescriptions have largely disappeared.</p> <p dir="ltr">“With EPCS, everything we prescribe now automatically goes into the Connecticut Prescription Monitoring and Reporting System, which allows for a more complete state database,” Erman explains. “Instead of waiting for pharmacy benefit managers to manually enter prescription information, they go directly into the system in near real time. That prevents doctor shopping because people can’t go to three doctors within two hours and get multiple prescriptions.”</p> <p dir="ltr">Moreover, the benefits for care organizations often extend beyond safety and security to bottom-line savings. CIO John Kravitz of Pennsylvania’s Geisinger Health System recently<a href="" target="_blank"> told <em>The Sentinel</em></a> that in adopting EPCS and extra safety and security measures for opioid prescriptions, the organization was able to reduce its prescriptions by <strong>50 percent </strong>as well as create “new efficiencies in time and resources that save an estimated <strong>$1 million annually</strong>.”</p> <p dir="ltr">“In short, e-Prescribing is more convenient, cheaper, and safer for doctors, pharmacies, and patients,”<a href="" target="_blank"> the ONC explains.</a></p> <p dir="ltr"><a href="" target="_blank"><em><strong>VIDEO: </strong>Geisinger Health slashes documentation by millions with machine learning!</em></a></p> <h2 dir="ltr">The Challenges for EPCS</h2> <p dir="ltr">As more providers adopt e-prescription software, security concerns are bound to arise, especially as organizations become more connected. <strong>Software safeguards and training</strong> can help overcome security issues for IT departments.</p> <p dir="ltr">“The most important takeaway is for IT personnel to remember that simply tacking on a second factor token to existing e-prescribing systems is not sufficient to satisfy DEA regulations,” Kelly explains. “The IT department needs to thoroughly understand the technology used for EPCS and make sure the vendor offers a solution that addresses all of the DEA requirements, such as provider credentialing, certification of all components, two-factor authentication, data storage, reporting and auditing capabilities.”</p> <p dir="ltr">Moreover, EPCS is subject to more stringent DEA requirements than e-prescribing of other prescriptions, meaning that IT needs to be conscious of these regulations when implementing the technology.</p> <p dir="ltr">While compliance with federal regulations can be “confusing and difficult,” Kelly urges providers to l<strong>ook for a right vendor partner</strong> who can walk the organization through the regulatory thicket.</p> <div class="sidebar_wide"> <h2 dir="ltr">What Is E-Prescribing?</h2> <p dir="ltr">Electronic prescribing, or e-prescribing, allows providers and patients to do away with paper prescriptions. With the technology, doctors can enter prescription information into a computer, tablet, laptop or other device and “securely transmit the prescription to pharmacies using a special software program and connectivity to a transmission network,”<a href=""> the ONC explains.</a></p> <p dir="ltr">Instead of carrying a paper prescription from the doctor’s office to the pharmacy, the request is transmitted directly to the pharmacist, who can begin filling it immediately upon receipt.</p> </div> </div> <div> <div class="field-author"><a href="/author/juliet-van-wagenen" hreflang="en">Juliet Van Wagenen</a></div> </div> Sun, 18 Nov 2018 23:47:22 +0000 juliet.vanwagenen_22746 41786 at Innovative Hospitals Tap Automation to Streamline Patient Care <span>Innovative Hospitals Tap Automation to Streamline Patient Care</span> <span><span lang="" about="/user/22746" typeof="schema:Person" property="schema:name" datatype="" content="juliet.vanwagenen_22746">juliet.vanwage…</span></span> <span>Wed, 11/14/2018 - 14:05</span> <div><p>Automation might be one of those words everyone fears, as many believe it will eliminate jobs, but in the medical world automated processes play an important role in mitigating physician burnout and improving patient engagement.</p> <p>And in many cases, hospitals across the country are already adopting automation to streamline workflows.</p> <p><a href="" target="_blank">Stanford Children’s Health</a>, located in Silicon Valley, and <a href="" target="_blank">NYU Langone Health</a> in New York, for example, are two hospitals that have <strong>integrated technology tools and applications</strong> to automate hospital operations and to <strong>improve communications and patient care</strong>.</p> <p><a href="" target="_blank"><em><strong>MORE FROM HEALTHTECH: </strong>Push notifications arm nurses with real-time alerts at Phoenix Children's Hospital!</em></a></p> <h2 id="toc_0">Automation Makes the Difference at Kimmel Pavilion, Lucile Packard</h2> <p>At NYU Langone’s new Kimmel Pavilion, for example, the IT department has integrated the hospital’s electronic health record system with another internal healthcare workflow application. When a patient is discharged, the <strong>electronic health record automatically notifies the workflow app</strong> that the patient’s room needs to be cleaned, so it schedules the housekeeper staff to clean the room, says Ruth Harris, NYU Langone’s senior director of solution development, campus transformation.</p> <p>The IT staff at Lucile Packard Children’s Hospital Stanford in Palo Alto, Calif., meanwhile, is <strong>improving communications and the flow of information</strong> by integrating nurse central stations with patient monitors, the nurse call system and the medical staff’s <a href="" target="_blank">iPhones</a>, says Ilir Kullolli, director of clinical technology and biomedical engineering.</p> <p>The hospital uses a mix of wired and wireless patient monitors that measure vital signs, such as heart rate and oxygen saturation level, and <strong>detects medical situations such as atrial fibrillation</strong>. The real-time patient information is sent to monitors located in nurse central stations at each unit.</p> <p>From the central stations, each patient’s vital signs are recorded on his or her EHR, and any alarms or requests by the patient is sent to the staff’s iPhones, Kullolli says.</p> <p>Using middleware software, the IT staff have programmed the system to <strong>direct alarms or patient requests to the appropriate doctors or nurses</strong>, based on the severity of the situation, says Alan Laver, the hospital’s IT application services manager.</p> <p>For example, if a patient wants ice or wants to talk to a nurse, those requests are funneled to the iPhones of nursing staff who are assigned to the patient’s room. But if it’s a Code Blue emergency, everyone in the unit is immediately notified, he says.</p> <p>The middleware software also <strong>integrates with the hospital’s real-time location system</strong>, so it knows when a nurse is in a patient’s room. If a patient alarm goes off, the system automatically knows the nurse is already in the room and has received the alert by the bedside, so it stops the nurse from receiving the same alert on the nurse’s iPhone, says Chee Yee Letterman, an IT project manager at Lucile Packard.</p> <p>To learn more about how these innovative healthcare organizations are tapping technology to improve care, check out our feature "<a href="" target="_blank">Hospitals Look to Innovation to Inspire Design</a>."</p> <p><a data-entity-type="" data-entity-uuid="" href="" target="_blank"><img alt="Modern-Workforce_the-office.jpg" data-entity-type="" data-entity-uuid="" src="" /></a></p> </div> <div> <div class="field-author"><a href="/author/wylie-wong" hreflang="en">Wylie Wong</a></div> </div> Wed, 14 Nov 2018 19:05:06 +0000 juliet.vanwagenen_22746 41781 at Middlesex Hospital Taps Chrome to Simplify Paramedic Workflow <span>Middlesex Hospital Taps Chrome to Simplify Paramedic Workflow</span> <span><span lang="" about="/user/22746" typeof="schema:Person" property="schema:name" datatype="" content="juliet.vanwagenen_22746">juliet.vanwage…</span></span> <span>Wed, 11/14/2018 - 11:25</span> <div><p>After nearly six years of relying on clunky and slow shock-proof computers for electronic charting, paramedics in the field for Connecticut-based <a href="" target="_blank">Middlesex Hospital</a> found the devices just weren’t cutting it. Originally issued by the state, the computers were not only cumbersome and slow to start, but costly to maintain and time-intensive to manage — not to mention that the battery life wasn’t sufficient for busy paramedics with long shifts.</p> <p>The computers had become the industry standard, however, because of their durability, which lead the hospital on a search for a rugged device that would better support the workflow for the paramedic team, explains Jim Santacroce, manager of Middlesex Hospital’s Emergency Medical Services.</p> <p>Enter the <a href="" target="_blank">Chromebook</a>: The rugged, inexpensive and easy-to-configure device not only held up to the daily wear and tear, but also — when paired with Chrome Enterprise — simplified workflow for paramedics by offering secure access to apps and virtualized clinical software.</p> <p>“The <strong>ruggedized Chromebooks that were made for education </strong>seemed to be the most durable, and we could manage the devices with Chrome Enterprise licenses,” explains Santacroce. “We wanted to make sure they were going to last, and after trying them out,<strong> we did not have any problems or hiccups</strong>.”</p> <p><a href="" target="_blank"><em><strong>VIDEO: </strong>What is a digital workspace and why is it the future?</em></a></p> <h2>A Fast, Simple Move to Chrome Simplifies Paramedic Workflow</h2> <p>In December 2016 — just a month after deciding to move away from the state-issued computers — the IT team distributed the needed <strong>12 Chromebooks</strong> to the hospital’s paramedics. Because the hospital already used Google Chrome as its primary browser and the hospital had a web-based electronic health record system, there was no learning curve for the members of the paramedic team.</p> <p>“<strong>There was no formal training necessary </strong>— that was kind of the point,” says Santacroce. “How simple and efficient can we make the experience?”</p> <p>Moreover, when weighed against the costs of maintaining the existing solution, <strong>the move to Chromebooks paid for itself</strong>, says Michael Romatzick, desktop architect at Middlesex Hospital.</p> <p>“Repurposing the budget for a single device slated for replacement paid for the entire switch to Chromebooks for the department, including spare devices, <strong>with funds left over</strong>,” explains Romatzick.</p> <p>Moreover, while maintaining the tech used to be time-consuming, now, the IT department gets only one or two calls a year for the devices, says Romatzick.</p> <p>“The interaction between users and our support team used to be frequent and stressful due to the difficulty in remotely connecting to a device that was unable to boot into Windows. <strong>Those issues have disappeared with the Chromebook deployment</strong>,” he says. “And since we were already managing the Chrome browser, it made the addition of Chromebooks simple for IT.”</p> <h2>Chromebooks Keep PHI Secure for Middlesex</h2> <p>In addition to being lighter and easier to use, Romatzick also touts the <strong>security benefits</strong> Chromebooks offer the hospital, particularly with safeguarding protected health information.</p> <p>“When using Chromebooks and a web-based electronic health record, nothing lives on the actual device,” explains Romatzick. “With Google policies applied to the devices, we can not only ensure that no data is stored on local devices, but also we know who was operating a Chromebook at any given time.”</p> <p>Furthermore, the Chromebooks are set to <strong>wipe themselves clean between each user</strong>, guaranteeing that nothing is left behind from previous sessions; and if a device is lost or stolen, the IT team can immediately and remotely decommission it.</p> <p>While the rollout is complete for now, the IT team has their eye on new uses for the device that will smooth the workflow for paramedics and clinicians, allowing them to keep their focus on patient care.</p> <p>“In the future, we plan to use the Chromebook’s camera to securely <strong>place photographs of patient documents directly into our record system</strong>,” says Santacroce.</p> <p><a data-entity-type="" data-entity-uuid="" href="" target="_blank"><img alt="Modern-Workforce_the-office.jpg" data-entity-type="" data-entity-uuid="" src="" /></a></p> </div> <div> <div class="field-author"><a href="/author/juliet-van-wagenen" hreflang="en">Juliet Van Wagenen</a></div> </div> Wed, 14 Nov 2018 16:25:36 +0000 juliet.vanwagenen_22746 41776 at Are Telehealth Offerings Meeting Patient Expectations? [#Infographic] <span>Are Telehealth Offerings Meeting Patient Expectations? [#Infographic]</span> <span><span lang="" about="/user/22746" typeof="schema:Person" property="schema:name" datatype="" content="juliet.vanwagenen_22746">juliet.vanwage…</span></span> <span>Tue, 11/13/2018 - 12:11</span> <div><p>In early November, the Centers for Medicare and Medicaid Services underscored the shift toward remote care offerings by offering a reimbursement option for remote patient monitoring services in its <a href="" target="_blank">final 2019 Physician Fee Schedule and Quality Payment Program</a>. This is perhaps one of the best benchmarks for how <strong>telemedicine services are becoming more widely accepted</strong> at doctor’s offices and health systems across the country.</p> <p>There are plenty of merits to establishing ways for patients to connect virtually with their doctors. In both <a href="">rural</a> and <a href="">urban areas</a> alike, t<strong>elehealth can save patients time and money</strong>, while expanding their access to specialists and care in general.</p> <p>But a new survey from Deloitte of U.S. physicians and healthcare consumers finds provider telehealth offerings are lagging behind consumer expectations. While <strong>80 percent</strong> of consumers have tried or are willing to try virtual care options, just <strong>14 percent of providers</strong> have implemented telehealth technology, and another<strong> 18 percent</strong> will implement it in the next two years.</p> <p>Check out the infographic from Deloitte below to see what challenges still lie ahead for telehealth.</p> <p><em><a href=""><strong>DOWNLOAD:</strong> Learn more about the possibilities of telehealth to improve care!</a></em></p> <p><img alt="Virtual_care_infographic_MASTER_1.jpg" data-entity-type="" data-entity-uuid="" src="/sites/" /></p> </div> <div> <div class="field-author"><a href="/author/juliet-van-wagenen" hreflang="en">Juliet Van Wagenen</a></div> </div> Tue, 13 Nov 2018 17:11:45 +0000 juliet.vanwagenen_22746 41771 at Healthcare Organizations Tap Remote Patient Monitoring to Manage Conditions in Real Time <span>Healthcare Organizations Tap Remote Patient Monitoring to Manage Conditions in Real Time</span> <span><span lang="" about="/user/22746" typeof="schema:Person" property="schema:name" datatype="" content="juliet.vanwagenen_22746">juliet.vanwage…</span></span> <span>Mon, 11/12/2018 - 12:08</span> <div><p>All patients mean to follow their doctor’s instructions, but once they leave the office of a healthcare professional, not all follow through.</p> <p>For example, women with pregnancy-associated hypertension are typically told by their physicians to follow up one week after being discharged from the hospital, then, like all women post-partum, again in four to six weeks. Compliance with those instructions, however, is far from ideal: Nationally, only <strong>30 to 40 percent</strong> of women go for the four- to six-week follow-up, which could affect women not just while they have infants, but for life.</p> <p>“Women who develop this problem are more likely later in life to develop either hypertension or other cardiovascular issues,” says Dr. Richard H. Beigi, chief medical officer of the <a href="" target="_blank">University of Pittsburgh Medical Center Magee-Women’s Hospital</a>.</p> <p>UPMC came up with a solution: remote patient monitoring, or RPM. Patients are given a way to have their medical status measured — in this case, using a blood pressure cuff — and then, through an app, have that reading checked and recorded with a qualified medical professional at a centralized monitoring system.</p> <p>“Generic instructions are not really tailored to where I am as a person and the context in which I’m consuming health services,” says Cynthia Burghard, research director at <a href="" target="_blank">IDC Health Insights</a>. “This can lead to poor compliance for behavior change that affects health for chronic illness and is costly.”</p> <p>Getting back to the doctor for check-ins, especially in rural areas, can be both inconvenient and expensive, which is where digital solutions can step in and increase patient engagement.</p> <p>It’s getting easier too as the adoption of smartphones and fitness-tracking devices become the norm; the <a href="">new Apple Watch even includes its own electrocardiogram monitor</a>.</p> <p><a href="" target="_blank"><em><strong>DOWNLOAD:</strong> Learn more about how mobile tools are enabling the next generation of care!</em></a></p> <h2>Remote Patient Monitoring Ramps Up</h2> <p>In 2016, seven million people used remote monitoring and connected medical devices as part of their care. That number could jump to <strong>50.2 million in five years</strong>, and it is also estimated that RPM revenues will increase from <strong>$7.5 billion in 2016</strong> to more than <strong>$32.4 billion by 2021</strong>, <a href="" target="_blank">according to a recent report</a>.</p> <p>RPM is seen as a way to help patients who are both in great need and also have high healthcare costs, like those with chronic conditions, which affect <strong>six in 10 adult Americans</strong> <a href="" target="_blank">according to the RAND Corporation</a>; <strong>43 percent</strong> have more than one chronic condition. The Centers for Disease Control and Prevention also <a href="" target="_blank">estimates</a> that chronic conditions account for more the most deaths in the U.S. and are responsible for 90 percent of healthcare expenditures.</p> <h2>Centralized Monitoring with BYOD-Based Apps</h2> <p>Of course, remote patient monitoring means that <strong>data is coming back </strong><strong>in</strong>, and that it needs to be reviewed. That’s where centralized monitoring systems come in.</p> <p>“A lot of practices are licensing care management applications and managing a whole array of patient data coming in from remote patient monitoring,” says Burghard.</p> <p>They become a hub where appropriate medical professionals can take in data coming from patients (whether from one or multiple sources), review it and alert a patient that they need an intervention, whether it’s prescribing a new medication or calling 911 to get an ambulance to that patient. If the readings are normal, then it goes into the patient’s medical records and becomes another data point on an electronic monitoring record or electronic health record, or both.</p> <p>“<strong>It’s the data that’s really affecting the infrastructure</strong>,” says Burghard. “Devices are in the patient’s home. What do you do with the data when you get it so that you can take the actions that you need? That’s the infrastructure impact that I’m seeing in physician offices or hospitals or whoever’s got the dashboard.”</p> <h2>Telehealth Technology Makes Remote Patient Monitoring Easy</h2> <p>In the pilot phase of the UPMC study, <strong>57 women</strong> were given a blood pressure cuff and an app to put onto their own smartphones because “pretty much everybody these days has their own smartphone. It makes sense for someone to use their own because they’re used to it.”</p> <p>For most women who have hypertension during pregnancy, the condition goes away after they gave birth. In the pilot phase of this study, UPMC found that <strong>57 percent of participants were able to skip that first one-week appointment</strong> because they were already being monitored via their phones and a blood pressure cuff.</p> <p>UPMC also found that <strong>88 percent of women</strong> came back for their six-week post-partum visit, compared to <strong>30 to 40 percent</strong> nationally. UPMC has continued the study past the pilot phase and has now enrolled over <strong>200 women in the program</strong>.</p> <p>“The convenience is really important, as is the potential to have better real-time or near-real-time management of their conditions, and having a potential decrease in office visits,” says Beigi. The healthcare organization is also considering how it can use the same technology for gestational diabetes and other cardiovascular issues.</p> <p>“We see a<strong> very bright future</strong> on the use of this technology in certain conditions,” Beigi adds.</p> <p><a data-entity-type="" data-entity-uuid="" href="" target="_blank"><img alt="Digital%20Transformation_IR_1.jpg" data-entity-type="" data-entity-uuid="" src="/sites/" /></a></p> </div> <div> <div class="field-author"><a href="/author/jen-miller" hreflang="en">Jen A. Miller</a></div> </div> Mon, 12 Nov 2018 17:08:22 +0000 juliet.vanwagenen_22746 41766 at As Healthcare Turns to ERP, It Also Turns to the Cloud <span>As Healthcare Turns to ERP, It Also Turns to the Cloud</span> <span><span lang="" about="/user/9856" typeof="schema:Person" property="schema:name" datatype="">eli.zimmerman_9856</span></span> <span>Fri, 11/09/2018 - 08:34</span> <div><p>Enterprises across all verticals have been slow to adopt cloud-based enterprise resource planning products. It is a market “in transition,” according to <a href="" target="_blank">Gartner’s latest ERP market guide,</a> with <strong>fewer than</strong> <strong>5 percent</strong> of enterprises hosting operational ERP deployments in the public cloud. Healthcare organizations are no exception. As they increasingly consider their ERP needs, however, they increasingly look to the cloud instead of on-premises products.</p> <p>“I want to get out of the data center business and get into the public cloud — and then into the private cloud,” says David Chou, chief information and digital officer at <a href="" target="_blank">Children’s Mercy Kansas City</a>, which is in the process of completing its ERP implementation. “The vendor community is moving that way. It creates speed,” he says. “It lets them scale and be agile. It offers flexibility that you don’t get in on-premises software.”</p> <p><a href="" target="_blank"><em><strong>VIDEO: </strong>See how Mercy went from provider to cloud provider!</em></a></p> <h2 id="toc_0">With ERPs, Providers Know the True Cost of Care</h2> <p>The term “enterprise resource planning” refers to the integrated, real-time management of core business processes such as <strong>cash flow, payroll, capacity planning and purchasing</strong>. For hospitals and health systems, ERP systems help eliminate financial data silos, as these organizations have traditionally managed revenue (from patients and insurance claims) and expenses (capital, labor, supply chain and so on) using disparate software systems.</p> <p>In many cases, competing business priorities kept hospitals from implementing an ERP system. A 2016 Black Book <a href="" target="_blank">survey</a> found that fewer than <strong>30 percent</strong> of hospitals had an ERP system in place. Investments in electronic health records, cybersecurity, the transition to ICD-10, population health management and analytics were all named as a higher priority than ERP, according to the survey. While <strong>30 percent</strong> seems low, it is not far from average: Software Advice <a href="" target="_blank">recently found</a> that only one-third of enterprises across major verticals use an ERP system, with another <strong>44 percent</strong> using disparate systems.</p> <p>Healthcare’s ongoing shift to value-based care has put pressure on hospitals to <strong>better understand the true cost of delivering care</strong>, whether it’s per individual episode of care or per disease state or diagnosis. This need for better insight into the cost of care, coupled with the obsolescence of the ERP systems that many hospitals had in place, has triggered interest in cloud-based ERP systems.</p> <p>“The back office has been neglected, but it’s come to the forefront now, and there’s a big influx of investment,” Chou says. “The back office is just as important as the EHR.”</p> <p>Organizations such as Children’s Mercy have several motivations for implementing an ERP system, Chou says. They may look for opportunities to improve supply chain efficiency and staff productivity, especially at times such as flu season when hospitals see a high volume of patients. They may reevaluate operating costs, especially if executives are considering a transition to value-based business models.</p> <p>ERP systems also support organizations that are in the process of merger, acquisition or affiliation, says Mary Kilmer, executive director of <a href="" target="_blank">Oracle Healthcare</a>. </p> <p>“A cloud-based holistic platform based on a single data model across finance, supply chain and human resources supports this emerging operating model and the assimilation of new entities with embedded cross-operational best practices,” Kilmer says.</p> <p><a href="" target="_blank"><em><strong>DOWNLOAD:</strong> See how hospitals are improving outcomes with next-generation patient engagement tech!</em></a></p> <h2 id="toc_1">Cloud-Based ERPs Support the Future of Healthcare</h2> <p>Chou notes that cloud-based ERP systems from vendors such as Oracle, <a href="" target="_blank">SAP</a> and Workday are fairly new to the market, regardless of vertical. As a result, vendors face the challenge of making these products operational for <strong>clients currently using on-premises systems</strong>. </p> <p>“They’re on the decision-making cusp. They’re asking, ‘When do I go to the latest version, and is it ready for me?’” he says.</p> <p>One way that vendors are addressing this challenge is to support more strategic analysis in addition to traditional outcome management, Kilmer says. Such analysis can include an organization’s Medicare cost-to-charge ratio, its costs and margins for individual service lines, and the relationship between <strong>care costs and various quality metrics</strong>.</p> <p>“Analytics need to not just tell you what just happened, but what is happening now, and predict what will happen next,” Kilmer says. Embedding a range of technology into ERP systems, from machine learning to blockchain to chatbots, can further support organizations’ analytics efforts, she adds.</p> <p>The biggest motivation for a move to a cloud-based ERP system, though, is to make an investment with <strong>an eye to the future</strong>.</p> <p>If you have an older, on-premises product, Chou says, “You have to do something to be current — and the only product that you can buy that’s future-proof is on the cloud.”</p> </div> <div> <div class="field-author"><a href="/author/brian-eastwood" hreflang="en">Brian Eastwood</a></div> </div> Fri, 09 Nov 2018 13:34:41 +0000 eli.zimmerman_9856 41746 at Your Healthcare Organization’s Been Hacked: Now What? <span>Your Healthcare Organization’s Been Hacked: Now What?</span> <span><span lang="" about="/user/26806" typeof="schema:Person" property="schema:name" datatype="">daniel.bowman_26806</span></span> <span>Thu, 11/08/2018 - 08:51</span> <div><p>Last month, health insurer Anthem agreed to pay the Department of Health and Human Services $16 million and take <strong>“substantial corrective action”</strong> as part of a settlement for HIPAA violations uncovered following cyberattacks that exposed health information for close to 79 million people.</p> <p>According to HHS, the company <strong>failed to take adequate measures to guard itself against hackers</strong>. “We know that large healthcare entities are attractive targets for hackers, which is why they are expected to have strong password policies and to monitor and respond to security incidents in a timely fashion or risk enforcement by OCR,” HHS Office for Civil Rights Director Roger Severino said in a <a href="" target="_blank">statement</a>.</p> <p>Consider the last part of that statement: OCR expects Anthem and all other healthcare entities to not only monitor for potential attacks, but also <strong>react swiftly and decisively if a hacker gets through the cracks</strong>.</p> <p>While much time is spent discussing how organizations can take steps to stay ahead of such attacks, <strong>incident response in the aftermath of an attack is just as critical</strong>.</p> <p><a data-entity-type="" data-entity-uuid="" href="" target="_blank"><img alt="Cybersecurity-report_EasyTarget.jpg" data-entity-type="" data-entity-uuid="" src="" /></a></p> <h2>Shore Up Your Post-Breach Communication Plan</h2> <p>Organizations can <strong>optimize incident response</strong> in several ways. For instance, entities such as health systems can develop notification templates to determine ahead of time whom to contact, when and how following a breach. The <a href="" target="_blank">HIPAA Breach Notification Rule</a> calls on covered entities to notify affected individuals, HHS and sometimes the media “without unreasonable delay” and no more than <strong>60 days after a breach is discovered if 500 or more individuals are affected.</strong></p> <p><strong>Internal communication</strong> about an event is equally vital. While not everyone required to be notified internally may need to take action, they very well could need the information for use at a later time.</p> <h2>Inform and Educate Staff to Improve Response Times</h2> <p>In that same vein, <strong>education must not be ignored</strong>. Communicating to staff about a specific incident is informative, but teaching employees about the proper ways to both identify and respond to an attack is necessary as well.</p> <p>Additionally, it’s important for organizations to <strong>know which steps they plan to take for different outcomes</strong>. In some instances, certain pieces of hardware or software may need to be removed. Having a flexible strategy for who must do what and how, not only can potentially save time, but it could prevent further damage.</p> <p>A <strong>post-incident review</strong> is also a critical component of a healthy incident response plan. While hindsight is 20/20, determining what went wrong and when, what lessons were learned and how the response could have been more effective can help to improve preparation against potential future attacks.</p> <p><em>This article is part of </em>HealthTech<em>’s <a href="">MonITor blog series</a>. Please join the discussion on Twitter by using the <a href="" target="_blank">#WellnessIT</a> hashtag.</em></p> <p><a data-entity-type="" data-entity-uuid="" href="" target="_blank"><img alt="MonITor_logo_sized.jpg" data-entity-type="" data-entity-uuid="" src="" /></a></p> </div> <div> <div class="field-author"><a href="/author/jeremy-weiss" hreflang="en">Jeremy Weiss</a></div> </div> Thu, 08 Nov 2018 13:51:12 +0000 daniel.bowman_26806 41736 at How Providers Can Tap Technology and Mine Data to Advance Value-Based Care <span>How Providers Can Tap Technology and Mine Data to Advance Value-Based Care</span> <span><span lang="" about="/user/9856" typeof="schema:Person" property="schema:name" datatype="">eli.zimmerman_9856</span></span> <span>Wed, 11/07/2018 - 10:24</span> <div><p>Healthcare organizations that are participating in value-based care arrangements through government and private payer contracts and as accountable care organizations have long known that using technology and data to improve care is key to success. But getting there hasn’t been easy. </p> <p>Value-based care — a model that ties reimbursement payments to the quality of care a healthcare organization provides — rewards organizations for keeping populations of patients healthy. An alternative to fee-for-service reimbursement, which pays providers based on how many patients they treat, successful value-based care programs aim to improve quality and patient experience while <strong>reducing costs and focusing on prevention</strong> and population health. </p> <p>The concept goes back to the often-maligned HMO movement, but it got a makeover in the rollout of the Affordable Care Act: The Centers for Medicare &amp; Medicaid Services, or CMS, has been pushing it ever since. But many healthcare organizations are still struggling to either get up to speed or keep up their momentum. </p> <p>In a <a href="" target="_blank">study by Quest Diagnostics</a> reported this summer, physicians and health plan executives agreed healthcare has made little progress toward value-based care since last year: More than two-thirds <strong>(67 percent)</strong> of physicians and health plan executives said the U.S. still has a fee-for-service system. And only <strong>39 percent</strong> of physicians said electronic health records provide all the data they need to care for their patients, according to the study.</p> <p>“We talk about value-based care, but for the life of me it still looks like we’re still doing pay-for-volume,” says Charles Christian, vice president of technology and engagement at the <a href="" target="_blank">Indiana Health Information Exchange</a>. “There is this chasm between volume-based reimbursement and value-based reimbursement that we have to figure out how to jump. I haven’t seen a good roadmap to how we’re going to get to paying for quality.”</p> <p><a href="" target="_blank"><em><strong>MORE FROM </strong></em></a><a href="" target="_blank"><em><strong>HEALTHECH</strong></em></a><a href="" target="_blank"><em><strong>:</strong> Mobility tools drive patient satisfaction!</em></a></p> <h2 id="toc_0">How Data Can Support — and Stymie — Value-Based Care Efforts</h2> <p>One of the difficulties of participating in value-based care programs, as physicians in the Quest survey noted, is having the right data to not only support efforts to provide high-quality care to patients but also to measure and report quality results to CMS and other payers. </p> <p><a href="" target="_blank">Atrius Health</a>, which is made up of <strong>32 physician practices</strong> with more than <strong>800 doctors</strong> across Massachusetts, participates in CMS’ Next Generation ACO model, in-state Medicaid ACO and has risk-based contracts with private payers, each with their own quality measures and quality reporting requirements.</p> <p>“One of the challenges of quality reporting is just how many metrics there are across different quality requirements,” says Craig Monsen, chief medical information officer of the nonprofit organization. “It can feel sometimes like the quality metrics are a distraction from what I went into medicine for — which is to help people, not report on them.” </p> <p>Atrius takes advantage of the fact that value-based contracts usually include <strong>a menu of quality measures</strong> that best align with its patients’ needs and its own priorities from year to year, Monsen says. </p> <p>“Part of it is just identifying our priorities. Part of it is, once we’ve identified our priorities and the metrics we are looking to drive, we have the challenge then of extracting that information,” he says. “We definitely benefit from our technology,” he adds, including its Epic EHR and the Linguamatics natural language processing tool. </p> <p>Another challenge to implementing value-based care and reporting quality measures is that, even as healthcare organizations have become more adept at gathering and using data, the <strong>volume of it continues to grow</strong> at an overwhelming pace, Christian says. </p> <p>“We’ve gotten better at being able to deal with coded data to enhance the care process but also to help manage populations. But it’s gotten a whole lot more difficult to manage, I think.”</p> <p><a href="" target="_blank"><em><strong>DOWNLOAD:</strong> Mobile tools improve patient satisfaction and deliver ROI!</em></a></p> <h2 id="toc_1">How Technology and Data Can Power Value-Based Care Efforts</h2> <p>Managing that data by optimizing EHRs, making data more accessible and insightful and reducing the complexity of quality measurement reporting are <strong>critical to </strong><strong>accelerate</strong><strong> the transition to value-based care</strong>, Dr. L. Patrick James, chief clinical officer of health plans and policy at Quest Diagnostics, <a href="" target="_blank">said in a statement</a>. </p> <p>“First, however, it's clear that health plan executives and physicians need to better align around a shared vision of how technology and data can improve patient care," he said.</p> <p>Indeed, there’s opportunity at the intersection of <strong>technology, workflow </strong><strong>and</strong><strong> people</strong>, Monsen says. The key is to “figure out that interface of technology workflow or processes and people’s roles and responsibilities to deliver what we’re driving toward, which is better patient care,” he says. </p> <p>“Value-based care is an evolving concept for healthcare providers,” adds Shruthi Parakkal, a transformational health consultant at Frost &amp; Sullivan, which is headquartered in San Antonio, Texas. “Healthcare authorities should not lose sight when finding key performance indicators for a pay-for-performance-model that, while it can be metric-driven, they should be able to account for non-cost-related metrics, such as patient satisfaction and physician efficiency.”</p> <p>Technology and data that engage patients can help organizations <strong>keep up with the demand</strong> of caring for populations of patients, she says. </p> <p>“Digital health will play a major role in clinical decision support and for evidence-based care delivery — and this will help to measure value beyond cost and efficiency,” Parakkal says. “To improve quality of care and achieve <strong>cost efficiency, care coordination and patient engagement</strong> is critical. Patients will have an increasing role to play in self-management, wellness and prevention, chronic disease management, follow-up and monitoring. For this, they will have to be engaged by hospitals beyond the basic patient portal to offer communication with physicians.”</p> <h2 id="toc_2">How to Engage Patients with Their Own Health</h2> <p>Beyond-the-basics digital health tools to aid engagement and communication include <strong>wearables, apps </strong><strong>and</strong><strong> at-home medical devices</strong> that can send and receive data to and from providers; telehealth and remote consultations; and patient awareness tools such as wellness apps and online platforms that educate patients about their health conditions. Even online scheduling can help, Parakkal says. </p> <p>“In the long term, an integrated healthcare ecosystem that connects patient-generated data to hospital-generated data will be critical,” Parakkal notes.</p> <p>Emerging value-based care technology trends include artificial intelligence, machine learning and Big Data. But it’s not which technology healthcare organizations use to engage patients and improve outcomes, according to Parakkal: It’s <strong>how organizations deploy those tools</strong>. </p> <p>“For providers to offer maximum value to patients, clinical decision support will be critical. For patients to be an integral part of the value equation, self-management is critical. Data sharing securely is also critical,” she says.</p> <p>“There is a huge hype over technology or only digital health taking over the care delivery. I personally believe it will be <strong>man and machine that will generate maximum value</strong>,” she says. “Digital health will increasingly play a role of healthcare augmentation — supporting physicians to deliver the best outcomes.”</p> <p><a href="" target="_blank"><img alt="Digital%20Transformation_IR_1.jpg" data-entity-type="" data-entity-uuid="" src="" /></a></p> </div> <div> <div class="field-author"><a href="/author/gienna-shaw" hreflang="en">Gienna Shaw</a></div> </div> Wed, 07 Nov 2018 15:24:22 +0000 eli.zimmerman_9856 41731 at LeadingAge 2018: Why Senior Care Organizations Must Prioritize Technology Initiatives <span>LeadingAge 2018: Why Senior Care Organizations Must Prioritize Technology Initiatives</span> <span><span lang="" about="/user/22746" typeof="schema:Person" property="schema:name" datatype="" content="juliet.vanwagenen_22746">juliet.vanwage…</span></span> <span>Tue, 11/06/2018 - 14:01</span> <div><p>Technology use among seniors is higher than it’s ever been, according to the <a href="" target="_blank">Pew Research Center</a>. In a report published last year, Pew found that the share of <strong>seniors who owned smartphones doubled from 2013 to 2017</strong>. The report also found a rise in tablet ownership and social media use among seniors.</p> <p><a href="" target="_blank"><em><strong>JOIN THE CONVERSATION:</strong> Follow @CDW_Healthcare on Twitter for continued LeadingAge 2018 coverage!</em></a></p> <p>Much like the residents it serves, the senior care industry and its use of technology continues to evolve every day, a concept that was on full display at the <a href="">LeadingAge 2018</a> conference in Philadelphia last week. In particular, organizations and senior care leaders shared how technology has shifted from being a luxury to a necessity for keeping residents happy, healthy and active.</p> <p><a data-entity-type="" data-entity-uuid="" href="" target="_blank"><img alt="Digital%20Transformation_IR_1.jpg" data-entity-type="" data-entity-uuid="" src="/sites/" /></a></p> <h2>Taking a More Business-Focused Approach to Tech Deployment</h2> <p>While discussing what the future of IT in senior care will look like, <a href="">several CIOs</a> also talked about how they’re building up their infrastructures to meet increased business demands. Peter Kress, senior vice president and CIO for West Point, Pa.-based Acts Retirement-Life Communities, said his organization has moved much of its infrastructure to a public cloud while downsizing its data center.</p> <p>“My personal opinion is that the <strong>public clouds are the most scalable, most secure, </strong><strong>best supported</strong><strong> environments</strong> to be in right now,” Kress said. “That could change again in the future — pendulums always swing — but that will never again mean that we’re building out and managing internal infrastructure.”</p> <p>Meanwhile, John Couture, CIO of Des Moines, Iowa-based <a href="" target="_blank">Lifespace Communities</a>, said his organization plans to move toward Infrastructure as a Service so he and his IT team can focus more on higher-value and complex projects and initiatives that will improve the company’s ability to compete in the marketplace.</p> <p>“I did not grow up in technology. I actually came from the business side and financial services,” Couture said. “I’ve always believed that<strong> business strategies drive technology</strong>. The challenge is that technology is advancing so quickly.”</p> <h2>Improving Social Connectivity for Seniors</h2> <p>Technology’s role also continues to grow in terms of combatting loneliness. For instance, Diana Delgado, chief operating officer for Lakewood, Colo.-based <a href="" target="_blank">Eaton Senior Communities</a>, discussed how a program that distributed iPads to residents helped to improve their connections to family and friends thanks to <strong>improved access to social media</strong> and <strong>increased community socializing</strong>.</p> <p>Katie Wade, associate director for <a href="" target="_blank">Well Connected</a>, a community of outreach staff and volunteers for adults over age 60 that is part of Covia, a group of senior communities based in the Bay Area in California, <a href="">talked about the impact that videoconferencing tools have had on seniors in terms of socializing</a>. Well Connected provides seniors with access to <strong>more than 70 social</strong> groups via phone or videoconference weekly, and the vast majority of the content shared is produced by participating individuals, Wade said, an environment that helps to provide seniors with more of a sense of self-worth.</p> <p>“There are so many people who don’t have access to all the amazing creative aging programs that are happening,” Wade said. “Technology is a way that we can make that more accessible.”</p> <h2>Don’t Make Assumptions About Seniors’ Technology Knowledge</h2> <p>One of the conference’s overarching themes was not making assumptions about the capacity of seniors to understand and use technology. Bill Rabe, CIO for Skokie, Ill.-based <a href="" target="_blank">Covenant Living Communities and Services</a>, said that one of the biggest complaints he receives from residents is when the Wi-Fi has gone down.</p> <p>“There are some people who have as many as <strong>10 devices in their </strong><strong>apartments</strong>, when you talk about printers, smart TVs and all of those other devices,” Rabe said.</p> <p>To that end, he said, it’s important to have a scalable network environment that can support a growing number of tools as more and more seniors demand wireless access.</p> <p>Meanwhile, <a href="">Michael Gray and Jennifer Griveas of The Eliza Jennings Senior Care Network</a> in Olmsted Township, Ohio, talked about how engaged seniors have been at cybersecurity training sessions they provide to residents.  </p> <p>“They come with great questions, sometimes more sophisticated than a lot of people expect of older adults,” Griveas said.</p> <p><a href="" target="_blank">Check out our event page for other articles from LeadingAge 2018</a>. Follow us on Twitter <a href="">@CDW_Healthcare</a>, or the official LeadingAge Twitter account, <a href="" target="_blank">@LeadingAge</a>, and join the conversation using the hashtag <em><a href=";src=typd" target="_blank">#LeadingAge18</a></em>.</p> </div> <div> <div class="field-author"><a href="/author/dan-bowman" hreflang="en">Dan Bowman</a></div> </div> Tue, 06 Nov 2018 19:01:38 +0000 juliet.vanwagenen_22746 41726 at